DR. ELLEN M KIM (MD) – Internal Medicine Physician, NPI 1124024229
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,058 INTERNAL MEDICINE in WA
Provider Addresses for DR. ELLEN M KIM (MD)
550 GAGE BLVD STE 101
RICHLAND, WA 993529532
Phone: (509) 942-3627
Fax: (509) 627-2983
Type: Mailing
560 GAGE BLVD STE 206
RICHLAND, WA 993528650
Phone: (509) 942-3286
Fax: (509) 628-1354
Type: Location
North Kelsey Street, Monroe, Snohomish County, Washington, 98272, United States
MONROE, WA 982721431
Phone: (360) 794-9101
Fax: (360) 805-4709
Type: Location
3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083360
Phone: (866) 366-2983
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2006-09-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060906000099 | I | Internal Medicine | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,515 | 565 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 143 | 143 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 90 | 90 | $0 |
| G0009 | Administration of pneumococcal vaccine | 59 | 59 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 59 | 59 | $0 |
Insurance plans in this area (ZIP 99352)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | WA | 90670 | Pneumococcal vaccine for injection into muscle | 62 | 62 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology, Hematology, Hematology/Oncology, Internal Medicine | WA | |
| - | MO | |
| Hospitalist, Internal Medicine | WA | |
| - | WA | |
| P O D I A T R Y | WA | |
| Hematology/Oncology, Internal Medicine | WA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | NC | |
| Physician Assistant | WA | |
| Internal Medicine | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.