SOO-JEONG KIM M.D.
NPI 1215952288
Psychiatry & Neurology - Child & Adolescent Psychiatry in Seattle, WA
About Soo-jeong Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOO-JEONG KIM M.D. (NPI 1215952288) is an individual child & adolescent psychiatry provider in Seattle, Washington, licensed in Florida (ME96302) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Soo-jeong Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Soo-jeong Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- 1,443 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98105
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Soo-jeong Kim's NPI number?
The NPI number for Soo-jeong Kim is 1215952288. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Soo-jeong Kim located?
Soo-jeong Kim practices at 4909 25th Ave NE Seattle Childrens Autism Center, Seattle, WA 98105. The listed phone number is (206) 987-8080.
What is Soo-jeong Kim's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Soo-jeong Kim enrolled in Medicare?
Yes. Soo-jeong Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Soo-jeong Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soo-jeong Kim reassigns Medicare benefits to 2 organizations: The Association Of Chrmc And University Physicians (Seattle, WA) and The Association Of University Physicians (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soo-jeong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Soo-jeong Kim accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Soo-jeong Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Soo-jeong Kim was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Soo-Jeong Kim, M.D. · NPI 1215952288
Child & Adolescent Psychiatry physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1215952288 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** ME96302 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4909 25TH AVE NE, SEATTLE CHILDRENS AUTISM CENTER, Seattle, WA 98105-4107
- **Phone:** (206) 987-8080 · **Fax:** (206) 987-8081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Association Of Chrmc And University Physicians (NPI 1255449963, Seattle, WA); The Association Of University Physicians (NPI 1023041159, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** June 10, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1215952288) · Data from the CMS NPPES public registry.