NPI Details
Mark S. Kim, MD is a phlebology in Puyallup, WA with 29 years of experience. The provider is phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. Mark S. Kim, MD NPI is 1053403634. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1997
The provider's business location address is:
1803 S MERIDIAN
PUYALLUP, WA
ZIP 98371
Phone: (253) 268-3400
Fax: (253) 268-3870
The NPI 1053403634 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Ultrasonic guidance for needle placement (HCPCS:76942)
- Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Varicose vein removal (HCPCS:NAN08)
The enumeration date for this NPI number is 9/29/2006 and was last updated on 1/15/2019.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 202K00000X | Phlebology | | MD00038816 | WASHINGTON | Yes |
| 2 | 207Q00000X | Family Medicine | | MD00038816 | WASHINGTON | No |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 8255697 | MEDICAID | WASHINGTON | |
