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

Mr. Kevin Shi, PA-C

Individual provider Medical Physician Assistant · NPI 1588907505

Mr. Kevin Shi, PA-C is a Physician Assistant in Seattle, Washington. Graduated from Emory University School of Medicine in 2012, 14 years ago. Practices with One Medical Group Inc, a 328-clinician group and accepts Medicare assignment. Licensed in New Mexico and Washington.

Years since qualifying
14
Trained at
Emory University School of Medicine
Licensed in
NM, WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

970 Denny Way
Seattle, WA 98109-5201
Phone: (206) 267-4390
Fax: (206) 267-4391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61024630 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2016-0014 (NM)

Record details

NPI number1588907505
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice One Medical Group Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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