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DR. JASON H KIM D.P.M.
NPI 1235542788
Podiatrist - Foot & Ankle Surgery in Bellevue, WA

Active since June 03, 2014PECOS EnrolledAccepts Medicare Assignment
11511 NE 10TH ST, BELLEVUE, WA 98004(425) 502-3000(425) 502-3589 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2022, Nov 10, 2021 (2 updates tracked since 2021).

About Dr. Jason H Kim D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON H KIM D.P.M. (NPI 1235542788) is an individual foot & ankle surgery provider in Bellevue, Washington, licensed in Washington (PO61311539) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Redlands, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1235542788
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JASON H KIMCredential: D.P.M.
Location Address11511 NE 10TH STBellevue, WA 98004-8578
Mailing Address11511 Ne 10th StBellevue, WA 98004-8578 · (425) 502-3000 · Fax (425) 502-3589
Phone(425) 502-3000
Fax(425) 502-3589
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 3, 2014
Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1235542788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in WA · PO61311539✔ Licensed in CA · E5326
11511 NE 10TH ST, Bellevue, WA 98004
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 California StRedlands, CA 92374-2910 · Phone (866) 454-3485

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

Dr. Jason H Kim D.p.m. 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.

PECOS PAC ID6800162629
PECOS Enrollment IDI20220919001111
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jason Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
7.1 mi
Multi-Specialty
320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1396810701 (206) 448-6561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATSY C LAZAROUS MD
Internal Medicine
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
SALMA F GHARIB M.D.
Emergency Medicine (Emergency Medical Services)
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
PAULA J LINS P.A.-C
Physician Assistant
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
SARAH PROCKO CNM
Advanced Practice Midwife
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
BENNET M. WANG M.D.
Internal Medicine (Pulmonary Disease)
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
CARA PRANGE PT
Physical Therapist
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (800) 995-5658
DR. BRYN MCKINNON SMITH MD
Obstetrics & Gynecology
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
MR. GARRETT MATTHEW KOSLAN CNM
Advanced Practice Midwife
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000

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 Jason Kim's NPI number?

The NPI number for Jason Kim is 1235542788. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Where is Jason Kim located?

Jason Kim practices at 11511 NE 10th St, Bellevue, WA 98004. The listed phone number is (425) 502-3000.

What is Jason Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jason Kim enrolled in Medicare?

Yes. Jason 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 organization bills Medicare for Jason Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Kim reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Seattle, WA). The 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 Jason Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Kim was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.