BELLEGROVE OB/GYN, INC. PS
NPI 1104931039
Obstetrics & Gynecology in Bellevue, WA

NPI Status: Active since August 20, 2006

Contact Information

1200 112TH AVE NE STE C115
BELLEVUE, WA
ZIP 98004
Phone: (425) 455-0244
Fax: (425) 455-9411

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  • Organization
  • Obstetrics & Gynecology
  • CLIA Number: 50D0629281
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About BELLEGROVE OB/GYN, INC. PS

This page provides the complete NPI Profile along with additional information for Bellegrove Ob/gyn, Inc. Ps, a women's health care provider established in Bellevue, Washington operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1104931039 assigned on August 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mitchell E Nudelman Md (President)

NPI
1104931039
Provider Name
BELLEGROVE OB/GYN, INC. PS
Entity Type
Organization
Location Address
1200 112TH AVE NE STE C115 BELLEVUE, WA 98004
Location Phone
(425) 455-0244
Location Fax
(425) 455-9411
Mailing Address
1200 112TH AVE NE STE C115 BELLEVUE, WA 98004
Mailing Phone
(425) 455-0244
Mailing Fax
(425) 455-9411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2006
Last Update Date
05-11-2017
Code Navigator

Women's health care providers like Bellegrove Ob/gyn, Inc. Ps treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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)
1261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

600249764 (WA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MITCHELL E NUDELMAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(425) 455-0244

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0629281
Facility Type
Physician Office
Certificate Effective Date
September 01, 1992
Certificate Expiration Date
April 04, 2028
Laboratory Director
MITCHELL A. NUDELMAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Bellegrove Ob/gyn, Inc. Ps in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1104931039, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 9 → 18 → 9 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 3 + 2 + 0 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104931039.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Obstetrics & Gynecology
1200 112TH AVE NE STE C115
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104931039, enumerated as an "organization" on August 20, 2006.

The provider is located at 1200 112TH AVE NE STE C115 BELLEVUE, WA 98004 and the phone number is (425) 455-0244.

Obstetrics & Gynecology with taxonomy code 207V00000X.