EDWARD KIM
NPI 1497201701
Physical Medicine & Rehabilitation - Pain Medicine in Arlington, WA

NPI Status: Active since August 28, 2016

Contact Information

4011 172ND ST NE
ARLINGTON, WA
ZIP 98223
Phone: (425) 259-0966

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  • Individual
  • Male
  • Years of Experience 8
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About EDWARD KIM

This page provides the complete NPI Profile along with additional information for Edward Kim, a provider established in Arlington, Washington with a medical specialization in Physical Medicine & Rehabilitation, focusing in pain medicine and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1497201701 assigned on August 2016. The practitioner's primary taxonomy code is 2081P2900X with license number MD61425958 (WA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1497201701
Provider Name
EDWARD KIM
Gender
Male
Entity Type
Individual
Location Address
4011 172ND ST NE ARLINGTON, WA 98223
Location Phone
(425) 259-0966
Mailing Address
PO BOX 5127 EVERETT, WA 98206
Mailing Phone
(425) 304-8431
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
08-28-2016
Last Update Date
07-17-2023
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Location Map

Secondary Locations

  • 1400 N Interstate 35 Ste 2.230
    Austin, TX 78701
    (562) 841-3534
  • 3181 SW Sam Jackson Park Rd. School of Medicine
    Portland, OR 97239
    (503) 494-2998
  • 3181 SW Sam Jackson Park Rd. School of Medicine
    Portland, OR 97239
    (503) 494-2998
  • 1303 Pacific Ave
    Everett, WA 98201
    (425) 339-5476
  • 3471 Fifth Ave. Suite 402 Kaufmann Medical Building
    Pittsburgh, PA 15213
    (562) 841-3534

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
License No.
MD61425958
License State
WA
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Edward Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Edward Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1355779703

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230717001415

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for EDWARD KIM

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497201701, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 4 + 0 + 2 + 7 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1497201701.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Audiologist
4011 172ND ST NE
ARLINGTON, WA 98223
Allergy & Immunology
4011 172ND ST NE
ARLINGTON, WA 98223
Optometrist
4011 172ND ST NE
ARLINGTON, WA 98223
Clinic/Center (Ambulatory Surgical)
4011 172ND ST NE
ARLINGTON, WA 98223
Clinic/Center (Multi-Specialty)
4011 172ND ST NE
ARLINGTON, WA 98223
Anesthesiology
4011 172ND ST NE
ARLINGTON, WA 98223
Nurse Practitioner
4011 172ND ST NE
ARLINGTON, WA 98223
Otolaryngology
4011 172ND ST NE
ARLINGTON, WA 98223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497201701, enumerated as an "individual" on August 28, 2016.

The provider is located at 4011 172ND ST NE ARLINGTON, WA 98223 and the phone number is (425) 259-0966.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.