KATHRYN MARIE IMBERG D.O.
NPI 1679884167
Emergency Medicine in Bellevue, WA
About Kathryn Marie Imberg D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN MARIE IMBERG D.O. (NPI 1679884167) is an individual emergency medicine provider in Bellevue, Washington, licensed in Washington (OP60473118) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kathryn Marie Imberg D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathryn Imberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kirkland, WA 98034
- Reassigned Medicare billing, Washington enrollment
- 69 clinicians in this Medicare group
Seattle, WA 98109
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BELLEVUE, WA 98004
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 Kathryn Imberg's NPI number?
The NPI number for Kathryn Imberg is 1679884167. It was assigned to this individual provider in the NPPES registry on June 29, 2010.
Where is Kathryn Imberg located?
Kathryn Imberg practices at 11511 NE 10th St, Bellevue, WA 98004. The listed phone number is (425) 502-3000.
What is Kathryn Imberg's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kathryn Imberg enrolled in Medicare?
Yes. Kathryn Imberg 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 organizations bill Medicare for Kathryn Imberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Imberg reassigns Medicare benefits to 2 organizations: Evergreen Emergency Services, Ps (Kirkland, WA) and Kaiser Foundation Health Plan Of Washington (Seattle, WA). Each 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 Kathryn Imberg'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 Kathryn Imberg was last updated on April 19, 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.
# Kathryn Marie Imberg, D.O. · NPI 1679884167
Emergency Medicine physician in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since June 29, 2010.
## Identity
- **NPI:** 1679884167 (Entity type: Individual)
- **Enumerated:** June 29, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** OP60473118 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 11511 NE 10TH ST, Bellevue, WA 98004-8578
- **Phone:** (425) 502-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Evergreen Emergency Services, Ps (NPI 1619912524, Kirkland, WA); Kaiser Foundation Health Plan Of Washington (NPI 1396810701, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 19, 2021
- **Other identifiers:** Medicaid 5101018952 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1679884167) · Data from the CMS NPPES public registry.