WONSUK KIM (M.D.) – Diagnostic Radiology Physician, NPI 1467686246

WONSUK KIM (M.D.) is a healthcare provider. based in Seattle, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A123195 (CA). The NPI Number for WONSUK KIM (M.D.) is 1467686246

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
WONSUK KIM (M.D.)
NPI
1467686246
Phone
(206) 526-5599
Address
115 NE 100TH ST STE 101
Enumeration Date
8 May 2009
Last Update Date
20 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4257405000
Graduation Year
2009 (17 years ago)
PAC ID
6901174796
Group Practice PAC ID
6608763859
Professional Enrollment ID
I20220524003058
Address ID
WA982014137EV3131XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:17State licenses:3Digital endpointsOther names

2,577 DIAGNOSTIC RADIOLOGY in PA

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Provider Addresses for WONSUK KIM (M.D.)

  • 115 NE 100TH ST STE 101

    SEATTLE, WA 981258013

    Phone: (206) 526-5599

    Fax: (206) 524-5338

    Type: Mailing

  • Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States

    HERSHEY, PA 170332360

    Phone: (717) 531-8521

    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: 2022-05-24

PECOS data refreshed: 2026-06-15

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
I20220524003058IDiagnostic 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml2,62524$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,81020$0
J2795Injection, ropivacaine hydrochloride, 1 mg27931$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml14432$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13329$0
View full utilization report →

Insurance plans in this area (ZIP 98125)

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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: 6608763859View full group profile
NameSpecialtyState
Diagnostic RadiologyWA
Diagnostic RadiologyWA
-WA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyMA

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Frequently asked questions

Does WONSUK KIM (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — WONSUK KIM (M.D.) uses 1467686246.
Does CMS list WONSUK KIM (M.D.) as active?
Yes — WONSUK KIM (M.D.) is active in the NPI listing used on this page.
What is WONSUK KIM (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for WONSUK KIM (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is WONSUK KIM (M.D.) based?
WONSUK KIM (M.D.) is tied to Seattle, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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