SEATTLE INFECTIOUS DISEASE CLINIC PLLC
NPI 1164830030
Internal Medicine - Infectious Disease in Seattle, WA

Active since July 23, 2014CLIA 50D2121054 · Waiver
509 OLIVE WAY, SUITE 752, SEATTLE, WA 98101(206) 329-0338 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Seattle Infectious Disease Clinic Pllc NPPES

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

SEATTLE INFECTIOUS DISEASE CLINIC PLLC (NPI 1164830030) is a healthcare organization registered as an infectious disease in Seattle, Washington and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Phillip Jason Skuda, Manager, as its authorized official.

NPPES Registry Identity

NPI1164830030
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameSEATTLE INFECTIOUS DISEASE CLINIC PLLC
Location Address509 OLIVE WAY, SUITE 752Seattle, WA 98101-1720
Mailing AddressPo Box 24303Seattle, WA 98124-0303 · (203) 329-0338
Organization SubpartNo
Authorized OfficialPhillip Jason SkudaManager · (206) 329-0338
Enumeration DateJuly 23, 2014
Last NPPES UpdateJuly 24, 2014
✔ NPI 1164830030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X
509 OLIVE WAY, Seattle, WA 98101

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Seattle Infectious Disease Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Seattle Infectious Disease Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1194832667
509 OLIVE WAY SUITE 752
Seattle, WA 98101
(206) 682-3444
✔ PECOS✔ Accepts MedicareSame address

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

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 of Waiver 50D2121054

Seattle Infectious Disease Clinic · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2121054
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorWarren L. Dinges
Laboratory Phone(206) 682-3444
Laboratory LocationSeattle Infectious Disease Clinic509 Olive Way Ste 752, Seattle, WA 98101
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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 Seattle Infectious Disease Clinic PLLC's NPI number?

The NPI number for Seattle Infectious Disease Clinic PLLC is 1164830030. It was assigned to this organization in the NPPES registry on July 23, 2014.

Where is Seattle Infectious Disease Clinic PLLC located?

Seattle Infectious Disease Clinic PLLC is located at 509 Olive Way Suite 752, Seattle, WA 98101. The listed phone number is (206) 329-0338.

What is Seattle Infectious Disease Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Seattle Infectious Disease Clinic PLLC enrolled in Medicare?

Yes. Seattle Infectious Disease Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seattle Infectious Disease Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Seattle Infectious Disease Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Seattle Infectious Disease Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2121054) 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 Seattle Infectious Disease Clinic PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Seattle Infectious Disease Clinic PLLC 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 Seattle Infectious Disease Clinic PLLC was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.