DR. NAMOU KIM (MD) – Otolaryngology Physician, NPI 1336125798

DR. NAMOU KIM (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. MD60101869 (WA). The NPI Number for DR. NAMOU KIM (MD) is 1336125798

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. NAMOU KIM (MD)
NPI
1336125798
Phone
(206) 320-4476
Address
PO BOX 25608
Enumeration Date
19 December 2005
Last Update Date
16 June 2021

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
2062926464
Graduation Year
1998 (28 years ago)
PAC ID
3870512825
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20090904000126
Address ID
WA981041342SE1221XSTXX301
Telehealth
Yes

Contacts

Secure Messaging
nkim1042145@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

321 OTOLARYNGOLOGY in WA

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Provider Addresses for DR. NAMOU KIM (MD)

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 568-7043

    Type: Mailing

  • Madison Street, West Edge, Belltown, Seattle, King County, Washington, 98174, United States

    SEATTLE, WA 981041342

    Phone: (206) 292-6464

    Fax: (206) 292-6498

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090904000126IOtolaryngologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10871$0
99203New patient office or other outpatient visit, 30-44 minutes6060$0
99204New patient office or other outpatient visit, 45-59 minutes3939$0
38724Removal of lymph nodes, muscle, and tissue of neck2626$0
15757Skin graft with repair of small blood vessel1817$0
View full utilization report →

Insurance plans in this area (ZIP 84125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
Orthopedic SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND

Reviews

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Frequently asked questions

Can I cross-check DR. NAMOU KIM (MD) using NPI 1336125798?
NPI 1336125798 belongs to DR. NAMOU KIM (MD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. NAMOU KIM (MD)?
You should see DR. NAMOU KIM (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. NAMOU KIM (MD)?
At a glance, DR. NAMOU KIM (MD) is tied to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. NAMOU KIM (MD)?
Travel planning: use Salt Lake City, Utah as the reference point for DR. NAMOU KIM (MD), then confirm.
When was this NPI issued?
Enumeration for DR. NAMOU KIM (MD) is noted as December 19, 2005 where the registry provides it.

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