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

Q: 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.

Q: What is Jason Kim's specialty?

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

Q: 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 3 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.

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: August 09, 2026.

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

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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