JESSICA H KIM MD
NPI 1891703781
Dermatology in Puyallup, WA

Q: What is Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1891703781. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Jessica Kim's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: Is Jessica Kim enrolled in Medicare?

No. Jessica Kim has opted out of Medicare through May 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kim was last updated on April 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 04, 2006Opted out of Medicare · through May 31, 2028

1703 S MERIDIAN, SUITE 101, PUYALLUP, WA 98371(253) 848-3000(253) 840-6514 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jessica H Kim Md NPPES

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

JESSICA H KIM MD (NPI 1891703781) is an individual dermatology provider in Puyallup, Washington, licensed in Washington (MD00042827) and active in the NPI registry since August 2006. She has opted out of Medicare through May 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891703781

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameJESSICA H KIMCredential: MD

Location Address1703 S MERIDIAN, SUITE 101Puyallup, WA 98371

Mailing Address1703 S Meridian, Suite 101Puyallup, WA 98371 · (253) 848-3000 · Fax (253) 840-6514

Phone(253) 848-3000

Fax(253) 840-6514

Sole ProprietorNo

Enumeration DateAugust 4, 2006

Last NPPES UpdateApril 25, 2011

✔ NPI 1891703781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in WA · MD00042827

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1703 S MERIDIAN, Puyallup, WA 98371

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Other Identifiers 3

Medicaid8396178WA

Medicare UPINI03261

Medicare ID-Type Unspecified8802481WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica H Kim Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 31, 2016 through May 31, 2028.

Opt-Out Effective DateMay 31, 2016

Opt-Out In Effect ThroughMay 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98371 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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.

KEITH F DAHLHAUSER MD

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