Samuel Jisoo Kim, DO, MA
NPI 1851617500ActiveIndividual· Anesthesiology· Seattle, WA
Anesthesiology (DO, MA) in Seattle, Washington, trained at Western University of Health Sciences College of Dental Med (class of 2010). Medicare paid $16,453 for services to 79 patients in 2024.
Overview
| NPI | 1851617500 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO, MA |
| Sole proprietor | No |
| NPI issued | Apr 19, 2010 |
| Last updated in NPPES | May 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | OL 60159865 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 91 across 36 procedure codes |
| Paid by Medicare | $16,453 |
Education and affiliations
| Medical school | Western University of Health Sciences College of Dental Med |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Anesthesiology |
Medical group
- Matrix Anesthesia, PsBellevue, WA · 88 clinicians
Hospital affiliation
- Evergreenhealth Medical CenterKirkland, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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