Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JIN BUM KIM M.D.
NPI 1316635568
Family Medicine in Enumclaw, WA

Q: What is Jin Bum Kim's NPI number?

The NPI number for Jin Bum Kim is 1316635568. It was assigned to this individual provider in the NPPES registry on April 26, 2023. The provider is also known as Jack Kim.

Q: What is Jin Bum Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jin Bum Kim was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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 April 26, 2023PECOS Enrolled

3021 GRIFFIN AVE, ENUMCLAW, WA 98022(360) 825-6511(360) 825-6536 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jin Bum Kim M.d. NPPES

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

DR. JIN BUM KIM M.D. (NPI 1316635568) is an individual family medicine provider in Enumclaw, Washington, licensed in Washington (MD.MD.70097490) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316635568

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JIN BUM KIMCredential: M.D.

Location Address3021 GRIFFIN AVEEnumclaw, WA 98022-2369

Mailing Address3021 Griffin AveEnumclaw, WA 98022-2369 · (360) 825-6511 · Fax (360) 825-6536

Phone(360) 825-6511

Fax(360) 825-6536

Sole ProprietorNo

Enumeration DateApril 26, 2023

Last NPPES UpdateOctober 22, 2026

NPPES CertifiedOctober 22, 2026

✔ NPI 1316635568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD.MD.70097490

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3021 GRIFFIN AVE, Enumclaw, WA 98022

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Other Names 1

Former Name (1)Jack Kim

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jin Bum Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KASHISH GOYAL

Family Medicine