OVERLAKE COLON & RECTAL CLINIC, PLLC
NPI 1063688273
Colon & Rectal Surgery in Bellevue, WA
NPI Status: Active since May 07, 2008
Contact Information
1135 116TH AVE NE
SUITE 190
BELLEVUE, WA
ZIP 98004
Phone: (425) 646-7400
Fax: (425) 646-7449
- Organization
- Colon & Rectal Surgery
About OVERLAKE COLON & RECTAL CLINIC, PLLC
This page provides the complete NPI Profile along with additional information for Overlake Colon & Rectal Clinic, Pllc, a provider established in Bellevue, Washington operating as a Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1063688273 assigned on May 2008. The practitioner's primary taxonomy code is 208C00000X with license number MD00039612 (WA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mitra Ehsan Md (Owner)
- NPI
- 1063688273
- Provider Name
- OVERLAKE COLON & RECTAL CLINIC, PLLC
- Entity Type
- Organization
- Location Address
- 1135 116TH AVE NE SUITE 190 BELLEVUE, WA 98004
- Location Phone
- (425) 646-7400
- Location Fax
- (425) 646-7449
- Mailing Address
- PO BOX 597 BELLEVUE, WA 98009
- Mailing Phone
- (206) 669-7639
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2008
- Last Update Date
- 09-04-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Colon & Rectal Surgery
- Taxonomy Code
- 208C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00039612
- License State
- WA
- Taxonomy Description
- A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | MD00039612 (WA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1135EH | OTHER (01) | WA | REGENCE |
| 2185705 | OTHER (01) | WA | UNITED HEALTH CARE |
| 1115864 | MEDICAID (05) | WA | |
| 0159746 | OTHER (01) | WA | L&I |
| 5810380 | OTHER (01) | WA | AETNA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063688273, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063688273, enumerated as an "organization" on May 07, 2008.
The provider is located at 1135 116TH AVE NE SUITE 190 BELLEVUE, WA 98004 and the phone number is (425) 646-7400.
Colon & Rectal Surgery with taxonomy code 208C00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.
