1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Anesthesiology
  6. NPI Profile

DR. SAMUEL JISOO KIM DO, MA
NPI 1851617500
Anesthesiology in Seattle, WA

Active since April 19, 2010PECOS EnrolledAccepts Medicare Assignment
815 MERCER ST, UNIV OF WASHINGTON GME OFFICE, SEATTLE, WA 98109(206) 390-7397 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Jisoo Kim Do, Ma NPPES

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

DR. SAMUEL JISOO KIM DO, MA (NPI 1851617500) is an individual anesthesiology provider in Seattle, Washington, licensed in Washington (OL 60159865) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of Western University Of Health Sciences College Of Dental Med (2010).

NPPES Registry Identity

NPI1851617500
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. SAMUEL JISOO KIMCredential: DO, MA
Location Address815 MERCER ST, UNIV OF WASHINGTON GME OFFICESeattle, WA 98109-4714
Mailing Address815 Mercer St, Univ Of Washington Gme OfficeSeattle, WA 98109-4714
Phone(206) 390-7397
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2010
Enumeration DateApril 19, 2010
Last NPPES UpdateMay 5, 2014
✔ NPI 1851617500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in WA · OL 60159865
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
815 MERCER ST, Seattle, WA 98109
Open in Google Maps ↗

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. Samuel Jisoo Kim Do, Ma 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 ID2567682354
PECOS Enrollment IDI20140929002540
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTELL WILLIAMS MD
Surgery
815 MERCER ST, BOX 358047
SEATTLE, WA 98109
King County (206) 897-1327

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 Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1851617500. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Samuel Kim located?

Samuel Kim practices at 815 Mercer St Univ Of Washington Gme Office, Seattle, WA 98109. The listed phone number is (206) 390-7397.

What is Samuel Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Samuel Kim enrolled in Medicare?

Yes. Samuel Kim 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.

Is Samuel Kim affiliated with any hospitals?

According to CMS data, Samuel Kim is affiliated with Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.