DR. DOUG SHIN KIM (MD) – Family Medicine Physician, NPI 1720087067
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for DR. DOUG SHIN KIM (MD)
Mi Rak Restaurant, 31260, Pacific Highway South, Federal Way, King County, Washington, 98003-4983, United States
SUITE 3
FEDERAL WAY, WA 980035448
Phone: (253) 941-7100
Fax: (253) 941-1510
Type: Location
31830 PACIFIC HWY S STE D
FEDERAL WAY, WA 980035449
Phone: (253) 941-7100
Fax: (253) 941-1510
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $3,008.
Total Amount is formed as General ($3,008) + Research ($0) + Ownership ($0) = $3,008.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($385).
Total Amount
$3,008
General + Research + Ownership
Payments
130
Total payment records
General Amount
$3,008
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $385 |
| Lilly USA, LLC | $333 |
| Phathom Pharmaceuticals, Inc. | $278 |
| Amgen Inc. | $226 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $207 |
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: 2006-03-06
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 |
|---|---|---|---|---|
| I20060306000675 | I | Family Practice | 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 | 431 | 110 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 155 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 45 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98003)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 81002 | Urinalysis, manual test | 27 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA |
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