ICHS BELLEVUE MEDICAL AND DENTAL CLINIC
NPI 1114363157
Clinic/Center - Federally Qualified Health Center (FQHC) in Bellevue, WA
About Ichs Bellevue Medical And Dental Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ICHS BELLEVUE MEDICAL AND DENTAL CLINIC (NPI 1114363157) is a healthcare organization registered as a federally qualified health center (fqhc) in Bellevue, Washington and active in the NPI registry since May 2013. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Hermes Shahbazian, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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)
Ichs Bellevue Medical And Dental Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
121Medicare enrollment records show 121 clinicians reassign Medicare billing to Ichs Bellevue Medical And Dental Clinic, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 87 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 20
Nearest to this location (20)
See all 121Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2185452
Ichs Bellevue Medical And Dental Clinic · Bellevue, WAFrequently 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 International Community Health Services's NPI number?
The NPI number for International Community Health Services is 1114363157. It was assigned to this organization in the NPPES registry on May 17, 2013. The provider is also known as Ichs Bellevue Medical And Dental Clinic.
Where is International Community Health Services located?
International Community Health Services is located at 1050 140th Ave NE, Bellevue, WA 98005. The listed phone number is (425) 373-3000.
What is International Community Health Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is International Community Health Services enrolled in Medicare?
Yes. International Community Health Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through International Community Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 121 clinicians in 20 Medicare specialties reassign their Medicare billing to International Community Health Services. 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 Family Practice (42), Nurse Practitioner (38) and Clinical Social Worker (12). Of these, 6 practice at this address and 87 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does International Community Health Services hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2185452) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does International Community Health Services accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list International Community Health Services 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 International Community Health Services was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ichs Bellevue Medical And Dental Clinic · NPI 1114363157
Federally Qualified Health Center (FQHC) organization in Bellevue, Washington. Organization record, active in the CMS NPPES registry since May 17, 2013.
## Identity
- **NPI:** 1114363157 (Entity type: Organization)
- **Enumerated:** May 17, 2013
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** International Community Health Services
- **Organization subpart:** Yes (part of International Community Health Services)
- **Authorized official:** Hermes Shahbazian, CFO
## Practice location
- **Address:** 1050 140TH AVE NE, Bellevue, WA 98005-2972
- **Phone:** (425) 373-3000 · **Fax:** (425) 373-3100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 121 clinicians in 20 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (42), Nurse Practitioner (38), Clinical Social Worker (12); 6 practice at this address and 87 within 10 miles; [full list](https://npiprofile.com/npi/1114363157/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114363157) · Data from the CMS NPPES public registry.