Prime Care PLLC
NPI 1740768258ActiveOrganization· Internal Medicine· Bothell, WA
Internal Medicine in Bothell, Washington, registered in NPPES in August 2018. The authorized official on file is Jeong Kim, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740768258 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2018 |
| Last updated in NPPES | Sep 28, 2026 |
| Certified by provider | Sep 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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