KITSAP GASTRO AND LIVER CLINIC, PLLC
NPI 1013668524
Internal Medicine - Gastroenterology in Poulsbo, WA
About Kitsap Gastro And Liver Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KITSAP GASTRO AND LIVER CLINIC, PLLC (NPI 1013668524) is a healthcare organization registered as a gastroenterology in Poulsbo, Washington and active in the NPI registry since January 2022. The organization lists Abimbola Adike, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kitsap Gastro And Liver Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kitsap Gastro And Liver Clinic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Poulsbo, WA 98370
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kitsap Gastro And Liver Clinic, PLLC's NPI number?
The NPI number for Kitsap Gastro And Liver Clinic, PLLC is 1013668524. It was assigned to this organization in the NPPES registry on January 17, 2022.
Where is Kitsap Gastro And Liver Clinic, PLLC located?
Kitsap Gastro And Liver Clinic, PLLC is located at 22180 Olympic College Way NW Ste 204, Poulsbo, WA 98370. The listed phone number is (360) 447-8951.
What is Kitsap Gastro And Liver Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Kitsap Gastro And Liver Clinic, PLLC enrolled in Medicare?
Yes. Kitsap Gastro And Liver Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kitsap Gastro And Liver Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Kitsap Gastro And Liver Clinic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kitsap Gastro And Liver Clinic, PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Kitsap Gastro And Liver Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kitsap Gastro And Liver Clinic, PLLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kitsap Gastro And Liver Clinic, Pllc · NPI 1013668524
Gastroenterology organization in Poulsbo, Washington. Organization record, active in the CMS NPPES registry since January 17, 2022.
## Identity
- **NPI:** 1013668524 (Entity type: Organization)
- **Enumerated:** January 17, 2022
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Abimbola Adike, PHYSICIAN OWNER
## Practice location
- **Address:** 22180 OLYMPIC COLLEGE WAY NW STE 204, Poulsbo, WA 98370-6664
- **Phone:** (360) 447-8951 · **Fax:** (360) 587-2355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Gastroenterology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013668524) · Data from the CMS NPPES public registry.