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

Dr. Samuel Jisoo Kim, DO, MA

Individual provider Anesthesiology Physician · NPI 1851617500

Dr. Samuel Jisoo Kim, DO, MA is an Anesthesiology in Seattle, Washington. Graduated from Western University of Health Sciences College of Dental Med in 2010, 16 years ago. Practices with Matrix Anesthesia, Ps, a 87-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
WA
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

815 Mercer St Univ Of Washington Gme Ofc
Seattle, WA 98109-4714
Phone: (206) 390-7397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence OL 60159865 (WA)

Record details

NPI number1851617500
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MA
Sole proprietorNo
NPI enumeratedApril 19, 2010
Last updated in NPPESMay 5, 2014

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2010 (16 years in practice)
Group practice Matrix Anesthesia, Ps — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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