KEVIN S. KUWADA (PA-C) – Emergency Medicine Physician, NPI 1104980077

KEVIN S. KUWADA (PA-C) is a healthcare provider. based in Bellevue, Washington. specializing in Emergency Medicine Physician. They hold the professional credentials PA-C. They hold a License No. 10001184 (WA). The NPI Number for KEVIN S. KUWADA (PA-C) is 1104980077

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN S. KUWADA (PA-C)
NPI
1104980077
Phone
(425) 688-5759
Address
1035 116TH AVE NE
Enumeration Date
21 December 2006
Last Update Date
17 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256885460
Graduation Year
1977 (49 years ago)
PAC ID
1153338827
Group Practice PAC ID
7012808827
Professional Enrollment ID
I20060321000708
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KEVIN S. KUWADA (PA-C)

  • Overlake Medical Center, 1035, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98004, United States

    BELLEVUE, WA 980044604

    Phone: (425) 688-5759

    Fax: (425) 688-5101

    Type: Location

  • PO BOX 34960

    SEATTLE, WA 981241960

    Phone: (425) 688-5759

    Fax: (425) 688-5101

    Type: Mailing

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: 2006-03-21

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
I20060321000708IPhysician AssistantWATBD

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 minutes3029$0
View full utilization report →

Insurance plans in this area (ZIP 98004)

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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: 7012808827View full group profile
NameSpecialtyState
N E U R O L O G YCA
P S Y C H I A T R YWA
-WA
Family PracticeWA
Family PracticeWA
Infectious Disease, Internal MedicineWA
Family PracticeWA
-WA
Family PracticeWA
Qualified Speech Language PathologistWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEVIN S. KUWADA (PA-C)?
KEVIN S. KUWADA (PA-C) — NPI 1104980077 — is the standard way to identify this listing.
Does the file indicate KEVIN S. KUWADA (PA-C) is practicing under active NPI?
Directory data currently reports KEVIN S. KUWADA (PA-C) as active.
What healthcare role does KEVIN S. KUWADA (PA-C) hold?
Scheduling teams often label KEVIN S. KUWADA (PA-C) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KEVIN S. KUWADA (PA-C) based?
KEVIN S. KUWADA (PA-C) is tied to Bellevue, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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