Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kullatham Kongpakpaisarn, MD

Individual provider Pulmonary Disease Physician · NPI 1174972624

Dr. Kullatham Kongpakpaisarn, MD is a Pulmonary Disease in Bellevue, Washington. Qualified in 2013, 13 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11511 NE 10th St
Bellevue, WA 98004-8578
Phone: (425) 502-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MD61436567 (WA)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 61436567 (WA)

Record details

NPI number1174972624
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2016
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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