DR. KATHLEEN SLOCUM (MD) – Diagnostic Radiology Physician, NPI 1063409894

DR. KATHLEEN SLOCUM (MD) is a healthcare provider. based in Bremerton, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD60084870 (WA). The NPI Number for DR. KATHLEEN SLOCUM (MD) is 1063409894

Main info

Female
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHLEEN SLOCUM (MD)
NPI
1063409894
Phone
(360) 830-4693
Address
4643 BIG BEEF XING NW
Enumeration Date
6 October 2005
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
3274664453
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20100702000189
Address ID
WA983351706GI4700XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

Provider Addresses for DR. KATHLEEN SLOCUM (MD)

  • 4643 BIG BEEF XING NW

    BREMERTON, WA 983129698

    Phone: (360) 830-4693

    Type: Mailing

  • 2435 MOSS LN

    OAK HARBOR, WA 982778858

    Phone: (360) 929-3736

    Type: Mailing

  • 3475 N SARATOGA ST

    OAK HARBOR, WA 982784927

    Phone: (360) 257-9640

    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: 2010-07-02

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
I20100702000189IDiagnostic RadiologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98312)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

Where can patients find DR. KATHLEEN SLOCUM (MD)'s NPI?
You can confirm DR. KATHLEEN SLOCUM (MD) with NPI 1063409894; it appears in the national provider directory.
Is DR. KATHLEEN SLOCUM (MD)'s NPI currently valid?
The extract we use shows DR. KATHLEEN SLOCUM (MD) as active.
Can you summarize DR. KATHLEEN SLOCUM (MD)'s specialty in plain language?
Clinically, the directory lists DR. KATHLEEN SLOCUM (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KATHLEEN SLOCUM (MD)?
The snapshot lists Bremerton, Washington for DR. KATHLEEN SLOCUM (MD); download NPPES for the complete set.
Is DR. KATHLEEN SLOCUM (MD) a real provider?
This page reflects official NPPES data for NPI 1063409894. Always confirm identity and privileges with the practice and licensing boards.

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