Khamphoucanh Southisombath, M.D.
NPI 1114316734 · Family Medicine Physician · Federal Way, WA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Khamphoucanh Southisombath, M.D. is a Family Medicine Physician provider in Federal Way, WA (NPI 1114316734).
Provider details
- NPI number
- 1114316734
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD60658344 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
15 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Hemoglobin A1c Level83036 | 15 | $10 |
Typical Medicare-allowed amounts for these services range $10–$10 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 46 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 183 | 64 |
| Amlodipine Besylate | 114 | 39 |
| Lisinopril | 99 | 36 |
| Losartan Potassium | 83 | 25 |
| Metformin Hcl | 74 | 23 |
| Gabapentin | 61 | 20 |
| Albuterol Sulfate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-01-20
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Frequently asked questions
- What is Khamphoucanh Southisombath's NPI number?
- Khamphoucanh Southisombath's National Provider Identifier (NPI) is 1114316734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khamphoucanh Southisombath's specialty?
- Khamphoucanh Southisombath is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Khamphoucanh Southisombath located?
- Khamphoucanh Southisombath's practice location on file with NPPES is 32018 23rd Ave S, Federal Way, WA 98003-6022.
- What is Khamphoucanh Southisombath's phone number?
- The practice phone number listed in the NPPES registry for Khamphoucanh Southisombath is (206) 520-5000.
- Does Khamphoucanh Southisombath accept Medicare?
- Khamphoucanh Southisombath is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Khamphoucanh Southisombath's NPI active?
- Yes — Khamphoucanh Southisombath's NPI (1114316734) is active in the NPPES registry as of the last update on 2025-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.