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PALOUSE UROLOGY PLLC
NPI 1124155437
Specialist in Pullman, WA

Active since February 27, 2007CLIA Certified · 2 labs
825 SE BISHOP BLVD STE 101, PULLMAN, WA 99163(509) 332-3488(509) 334-6477 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palouse Urology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALOUSE UROLOGY PLLC (NPI 1124155437) is a healthcare organization registered as a specialist in Pullman, Washington and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Alicia Napier, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124155437
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePALOUSE UROLOGY PLLC
Location Address825 SE BISHOP BLVD STE 101Pullman, WA 99163-5517
Mailing Address825 Se Bishop Blvd Ste 101Pullman, WA 99163-5517 · (509) 332-3488 · Fax (509) 334-6477
Phone(509) 332-3488
Fax(509) 334-6477
Organization SubpartNo
Authorized OfficialAlicia NapierOffice Manager · (509) 332-3488
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124155437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · 602 206 826
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
825 SE BISHOP BLVD STE 101, Pullman, WA 99163
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palouse Urology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Palouse Urology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

John Keizur, M.D.
Urology
NPI 1578663399
825 SE BISHOP BLVD SUITE 101
Pullman, WA 99163
(509) 332-3488
✔ PECOS✔ Accepts Medicare0.3 mi
Bryan Smith, MD
Urology
NPI 1548243199
825 SE BISHOP BLVD STE 101
Pullman, WA 99163
(509) 332-3488
✔ PECOS✔ Accepts Medicare0.3 mi

Source: 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 2

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) 50D0919800

Palouse Urology Center · Pullman, WA
Active · expires Apr 4, 2028
CLIA Number50D0919800
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 1996
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJohn J. Keizur
Laboratory Phone(509) 332-3499
Laboratory LocationPalouse Urology Center825 SE Bishop Blvd Ste 101, Pullman, WA 99163
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2128745

Palouse Urology PLLC · Moscow, ID
Active · expires Apr 4, 2027
CLIA Number13D2128745
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorBryan D. Smith
Laboratory Phone(509) 332-3488
Laboratory LocationPalouse Urology PLLC700 S Main St, Moscow, ID 83843
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Palouse Urology PLLC's NPI number?

The NPI number for Palouse Urology PLLC is 1124155437. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Palouse Urology PLLC located?

Palouse Urology PLLC is located at 825 SE Bishop Blvd Ste 101, Pullman, WA 99163. The listed phone number is (509) 332-3488.

What is Palouse Urology PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Palouse Urology PLLC enrolled in Medicare?

Yes. Palouse Urology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palouse Urology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Urology, reassign their Medicare billing to Palouse Urology 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Palouse Urology PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Palouse Urology PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.