DR. MARIANNE KIM M.D. NPI 1699079640

NPI Information

  • NPI: 1699079640
  • Provider Name: DR. MARIANNE KIM, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1304 FAWCETT AVE STE 100
    TACOMA, WA
    ZIP 98402
  • Phone: (253) 761-4200

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NPI Details

DR. Marianne Kim, M.D. is a diagnostic radiology radiology in Tacoma, WA with 16 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Marianne Kim, M.D. NPI is 1699079640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2010

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402-900
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1699079640 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, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Mri scan of both breasts (HCPCS:77049)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mastectomy (HCPCS:NAN04)

The enumeration date for this NPI number is 1/5/2011 and was last updated on 8/30/2024.

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
12085R0202XRadiologyDiagnostic RadiologyMD60640466WASHINGTONYes

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
12057229MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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