DR. CASEY KWON KIM (MD) – Family Medicine Physician, NPI 1073578704

DR. CASEY KWON KIM (MD) is a healthcare provider. based in Lynnwood, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00046002 (WA). The NPI Number for DR. CASEY KWON KIM (MD) is 1073578704

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY KWON KIM (MD)
NPI
1073578704
Phone
(425) 672-8282
Address
18623 HIGHWAY 99
Enumeration Date
18 April 2006
Last Update Date
18 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256728282
Graduation Year
2002 (24 years ago)
PAC ID
1951303064
Professional Enrollment ID
I20070202000125
Address ID
WA980374552LY1862399XX312
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for DR. CASEY KWON KIM (MD)

  • Arirang Lynnwood, 18623, Highway 99, Lynnwood, Snohomish County, Washington, 98037, United States

    STE 230

    LYNNWOOD, WA 980374552

    Phone: (425) 672-8282

    Fax: (425) 275-5144

    Mailing address matches the actual address.

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: 2007-02-02

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
I20070202000125IFamily PracticeWATBD

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
36415Insertion of needle into vein for collection of blood sample2213$0
99214Established patient office or other outpatient visit, 30-39 minutes2211$0
View full utilization report →

Insurance plans in this area (ZIP 98037)

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Reviews

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Frequently asked questions

What federal number belongs to DR. CASEY KWON KIM (MD)?
The federal identifier for DR. CASEY KWON KIM (MD) is NPI 1073578704.
Is DR. CASEY KWON KIM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. CASEY KWON KIM (MD) treat or focus on?
Patients typically see DR. CASEY KWON KIM (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CASEY KWON KIM (MD)'s primary listing?
We display Lynnwood, Washington because that is what the record indicates for DR. CASEY KWON KIM (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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