TABITHA KU (MD) – Pulmonary Disease Physician, NPI 1801201785

TABITHA KU (MD) is a healthcare provider. based in Longview, Washington. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 04-39947 (KS). The NPI Number for TABITHA KU (MD) is 1801201785

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TABITHA KU (MD)
NPI
1801201785
Phone
(360) 414-2730
Address
1615 DELAWARE ST
Enumeration Date
30 June 2014
Last Update Date
17 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604142800
Graduation Year
2014 (12 years ago)
PAC ID
1355567769
Group Practice PAC ID
5890689293
Professional Enrollment ID
I20200623001038
Address ID
WA986322310LO1660XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:11State licenses:3Digital endpointsOther names

380 PULMONARY DISEASE in WA

Provider Addresses for TABITHA KU (MD)

  • 1615 DELAWARE ST

    LONGVIEW, WA 986322367

    Phone: (360) 414-2730

    Fax: (360) 414-2739

    Type: Location

  • SPECIALTY CLINIC - PULMONOLOGY/PULMONARY MEDICINE

    1615 DELAWARE STREET

    LONGVIEW, WA 98632

    Phone: (310) 414-2730

    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: 2020-06-23

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
I20200623001038IPulmonary DiseaseWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5443$0
94729Test to examine how well the lungs exchange gases4848$0
94726Test to determine lung volumes using sensors4646$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
94060Test to measure expiratory airflow and volume changes before and after medication administration2525$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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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: 5890689293View full group profile

Reviews

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Frequently asked questions

Is there an official ID for TABITHA KU (MD) in U.S. healthcare records?
The official identifier for TABITHA KU (MD) is NPI 1801201785.
Is TABITHA KU (MD) shown as active in public data?
Registry records indicate TABITHA KU (MD) maintains an active NPI.
What kind of doctor is TABITHA KU (MD)?
TABITHA KU (MD) is associated with Pulmonary Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is TABITHA KU (MD) registered?
Use Longview, Washington as the headline location for TABITHA KU (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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