FAIRFAX PHYSICIAN GROUP
NPI 1104959097
Psychiatry & Neurology - Psychiatry in Kirkland, WA
About Fairfax Physician Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRFAX PHYSICIAN GROUP (NPI 1104959097) is a healthcare organization registered as a psychiatry in Kirkland, Washington and active in the NPI registry since March 2007. The organization lists Peggy Trachte, Business Office Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Fairfax Physician Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
64Medicare enrollment records show 64 clinicians reassign Medicare billing to Fairfax Physician Group, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 64Source: 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 Bhc Fairfax Hospital Inc.'s NPI number?
The NPI number for Bhc Fairfax Hospital Inc. is 1104959097. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Fairfax Physician Group.
Where is Bhc Fairfax Hospital Inc. located?
Bhc Fairfax Hospital Inc. is located at 10200 NE 132nd St, Kirkland, WA 98034. The listed phone number is (425) 821-2000.
What is Bhc Fairfax Hospital Inc.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Bhc Fairfax Hospital Inc. enrolled in Medicare?
Yes. Bhc Fairfax Hospital Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bhc Fairfax Hospital Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 64 clinicians in 5 Medicare specialties reassign their Medicare billing to Bhc Fairfax Hospital Inc.. 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. The largest specialties are Nurse Practitioner (43), Psychiatry (17) and Internal Medicine (2). Of these, 12 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bhc Fairfax Hospital Inc. accept?
Health plans from Ambetter Health list Bhc Fairfax Hospital Inc. 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 Bhc Fairfax Hospital Inc. was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Fairfax Physician Group · NPI 1104959097
Psychiatry organization in Kirkland, Washington. Organization record, active in the CMS NPPES registry since March 13, 2007.
## Identity
- **NPI:** 1104959097 (Entity type: Organization)
- **Enumerated:** March 13, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Legal business name:** Bhc Fairfax Hospital Inc.
- **Organization subpart:** No
- **Authorized official:** Peggy Trachte, BUSINESS OFFICE DIRECTOR
## Practice location
- **Address:** 10200 NE 132ND ST, Kirkland, WA 98034-2831
- **Phone:** (425) 821-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 64 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (43), Psychiatry (17), Internal Medicine (2); 12 practice at this address and 36 within 10 miles; [full list](https://npiprofile.com/npi/1104959097/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2011
- **Other identifiers:** Medicaid 7159908 (WA); Medicaid 7104326 (WA); Medicare ID-Type Unspecified AB20892 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104959097) · Data from the CMS NPPES public registry.