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JESSIE KIM-DEOBALD MD
NPI 1902902018
Specialist in Seattle, WA

Active since September 15, 2006PECOS Enrolled
1530 N 115TH ST, SUITE 301, SEATTLE, WA 98133(206) 365-5000(206) 365-5002 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessie Kim-deobald Md NPPES

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

JESSIE KIM-DEOBALD MD (NPI 1902902018) is an individual specialist in Seattle, Washington and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902902018
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJESSIE KIM-DEOBALDCredential: MD
Location Address1530 N 115TH ST, SUITE 301Seattle, WA 98133-8411
Mailing Address1530 N 115th St, Suite 301Seattle, WA 98133-8411 · (206) 365-5000 · Fax (206) 365-5002
Phone(206) 365-5000
Fax(206) 365-5002
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1902902018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
1530 N 115TH ST, Seattle, WA 98133
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Other Identifiers 3

Medicare UPING10594WA
Other5355KIWA · Regence Ryder Number
Medicaid1093699WA

Accepted Insurance

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

Jessie Kim-deobald Md 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.

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.

DANIEL C STAMBOR M.D.
Internal Medicine
1530 N 115TH ST, SUITE 104
SEATTLE, WA 98133
King County (206) 368-1311
MARY J. SCHOLZ RN, PHD
Counselor
1530 N 115TH ST, SUITE 207
SEATTLE, WA 98133
King County (206) 523-7246
ROOSEVELT MEDICAL CENTER TRUST
Family Medicine
1530 N 115TH ST, SUITE 303
SEATTLE, WA 98133
King County (206) 368-1933
DR. ALEXANDR IVANOVICH CHATILO M.D.
Physical Medicine & Rehabilitation
1530 N 115TH ST, SUITE 305
SEATTLE, WA 98133
King County (206) 362-2464
THEODORE J KAPANJIE DO PS
Family Medicine
1530 N 115TH ST, 302
SEATTLE, WA 98133
King County (206) 365-0660
DR. DAVID N DRUCKER M.D.
Ophthalmology (Retina Specialist)
1530 N 115TH ST, SUITE 105
SEATTLE, WA 98133
King County (206) 363-7035
ZHENIA PHYSIOTHERAPY LLC
Clinic/Center (Physical Therapy)
1530 N 115TH ST, SUITE 302
SEATTLE, WA 98133
King County (206) 910-8186
RETINA CONSULTANTS OF SEATTLE, PC
Specialist
1530 N 115TH ST, SUITE 105
SEATTLE, WA 98133
King County (206) 363-7035

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 Jessie Kim-deobald's NPI number?

The NPI number for Jessie Kim-deobald is 1902902018. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Jessie Kim-deobald located?

Jessie Kim-deobald practices at 1530 N 115th St Suite 301, Seattle, WA 98133. The listed phone number is (206) 365-5000.

What is Jessie Kim-deobald's specialty?

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

Is Jessie Kim-deobald enrolled in Medicare?

Yes. Jessie Kim-deobald is registered in the Medicare PECOS enrollment system.

What insurance does Jessie Kim-deobald accept?

Health plans from PacificSource Health Plans list Jessie Kim-deobald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessie Kim-deobald was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.