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Active NPI 1952523219 Individual Practitioner Male Practitioner

Dr. Kim Shannon Mallick , MD

Ophthalmology • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kim Mallick, MD is a registered healthcare professional specializing in Ophthalmology in Seattle, WA. Practice services are available at 1221 MADISON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1221 Madison St
Suite 1218

Seattle, WA 981041356

Telephone 2062152323
Fax 2062152320
Associated Practice Facility / Clinic
🏢 Vitreoretinal Associates Pllc Facility NPI 1134178460

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
159 Specialists

Practicing in Seattle, WA (552 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD00027008

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1078542 (WA)
Commercial Insurance / Payer ID Labor And Industries
32114 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Reith Sarkar , MD

Radiology - Radiation Oncology

NPI 1679034060

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1221 MADISON ST, SUITE 1218, SEATTLE, WA 981041356 (Tel: 2062152323)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1221 MADISON ST, SUITE 1218, SEATTLE, WA 981041356 (Tel: 2062152323)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KIM MALLICK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #MD00027008 in WA)

🟢
Initial NPI Registration & Enumeration May 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952523219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1221 Madison St, Suite 1218

Seattle, WA 981041356

Phone: 2062152323

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.