IM S YI M.D.
NPI 1992796650
Family Medicine in Kent, WA

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
26004 104TH AVE SE, KENT, WA 98030(425) 251-4040 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Im S Yi M.d. NPPES

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

IM S YI M.D. (NPI 1992796650) is an individual family medicine provider in Kent, Washington, licensed in Washington (MD00047267) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1992796650
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameIM S YICredential: M.D.
Location Address26004 104TH AVE SEKent, WA 98030-7677
Mailing Address26004 104th Ave SeKent, WA 98030-7677 · (425) 251-4040
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 2, 2005
Last NPPES UpdateMay 12, 2021
NPPES CertifiedMay 12, 2021
NPI 1992796650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WA · MD00047267 Licensed in IN · 01055784
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

26004 104TH AVE SE, Kent, WA 98030

Other Identifiers 2

Other000000373612IN · Anthem
Medicaid8497141WA

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

Im S Yi M.d. 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 ID6507808375
PECOS Enrollment IDI20071127000168
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98030 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
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.

Pharmacist
26004 104TH AVE SE
KENT, WA 98030
Physician Assistant
26004 104TH AVE SE
KENT, WA 98030
Pharmacist
26004 104TH AVE SE
KENT, WA 98030
Pharmacist
26004 104TH AVE SE
KENT, WA 98030
Pharmacist
26004 104TH AVE SE
KENT, WA 98030
Pharmacist
26004 104TH AVE SE
KENT, WA 98030
Pharmacist
26004 104TH AVE SE
KENT, WA 98030
Family Medicine
26004 104TH AVE SE
KENT, WA 98030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992796650, enumerated as an "individual" on November 02, 2005.

The provider is located at 26004 104TH AVE SE KENT, WA 98030 and the phone number is (425) 251-4040.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.