Pacific Pain Specialists
NPI 1205163771 · Pain Medicine (Anesthesiology) Physician · Issaquan, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Pain Specialists is a Pain Medicine (Anesthesiology) Physician organization in Issaquan, WA (NPI 1205163771).
Provider details
- NPI number
- 1205163771
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Kim, Owner/Manager(206) 601-2097
- License
- MD 00047320 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-11-04
- Last updated
- 2010-09-21
Frequently asked questions
- What is Pacific Pain Specialists's NPI number?
- Pacific Pain Specialists's National Provider Identifier (NPI) is 1205163771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Pain Specialists?
- Pacific Pain Specialists is classified in the NPPES registry as Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Pacific Pain Specialists located?
- Pacific Pain Specialists's practice location on file with NPPES is 22510 Se 64th Place, Issaquan, WA 98027.
- What is Pacific Pain Specialists's phone number?
- The practice phone number listed in the NPPES registry for Pacific Pain Specialists is (425) 391-2722.
- Does Pacific Pain Specialists accept Medicare?
- Pacific Pain Specialists is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Pain Specialists?
- The authorized official listed on Pacific Pain Specialists's NPPES record is Jason Kim, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Pain Specialists's NPI active?
- Yes — Pacific Pain Specialists's NPI (1205163771) is active in the NPPES registry as of the last update on 2010-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.