JON CHRISTIAN KOOIKER M.D.
NPI 1568420180
Specialist in Olympia, WA

Q: What is Jon Kooiker's NPI number?

The NPI number for Jon Kooiker is 1568420180. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Jon Kooiker's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Kooiker was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 03, 2006PECOS Enrolled

525 LILLY RD NE, OLYMPIA, WA 98506(360) 413-8551(360) 413-8827 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jon Christian Kooiker M.d. NPPES

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

JON CHRISTIAN KOOIKER M.D. (NPI 1568420180) is an individual specialist in Olympia, Washington, licensed in Washington (MD00014128) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568420180

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJON CHRISTIAN KOOIKERCredential: M.D.

Location Address525 LILLY RD NEOlympia, WA 98506-5101

Mailing Address525 Lilly Rd NeOlympia, WA 98506-5101 · (360) 413-8551 · Fax (360) 413-8827

Phone(360) 413-8551

Fax(360) 413-8827

Sole ProprietorNo

Enumeration DateMay 3, 2006

Last NPPES UpdateJune 16, 2021

NPPES CertifiedJune 16, 2021

✔ NPI 1568420180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · MD00014128

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

525 LILLY RD NE, Olympia, WA 98506

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Other Identifiers 1

Medicaid1470103WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Jon Christian Kooiker 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

27 services27 patients

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.

MISS SOPHIA TSIRIGOTIS M.D.

Student in an Organized Health Care Education/Training Program