OPTUM - BROADWAY
NPI 1174594634
Audiologist in Seattle, WA
About Optum - Broadway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTUM - BROADWAY (NPI 1174594634) is a healthcare organization registered as an audiologist in Seattle, Washington and active in the NPI registry since January 2006. The organization lists Craig Pepin, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
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)
Optum - Broadway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
908Medicare enrollment records show 908 clinicians reassign Medicare billing to Optum - Broadway, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 367 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 54
Nearest to this location (20)
See all 908Source: 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 The Polyclinic PLLC's NPI number?
The NPI number for The Polyclinic PLLC is 1174594634. It was assigned to this organization in the NPPES registry on January 31, 2006. The provider is doing business as Optum - Broadway.
Where is The Polyclinic PLLC located?
The Polyclinic PLLC is located at 1145 Broadway, Seattle, WA 98122. The listed phone number is (206) 329-1760.
What is The Polyclinic PLLC's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is The Polyclinic PLLC enrolled in Medicare?
Yes. The Polyclinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Polyclinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 908 clinicians in 54 Medicare specialties reassign their Medicare billing to The Polyclinic 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. The largest specialties are Family Practice (171), Nurse Practitioner (162) and Diagnostic Radiology (97). Of these, 22 practice at this address and 367 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does The Polyclinic PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list The Polyclinic 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 The Polyclinic PLLC was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Optum - Broadway · NPI 1174594634
Audiologist organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since January 31, 2006.
## Identity
- **NPI:** 1174594634 (Entity type: Organization)
- **Enumerated:** January 31, 2006
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **Legal business name:** The Polyclinic Pllc
- **Organization subpart:** No
- **Authorized official:** Craig Pepin, PHYSICIAN/OWNER
## Practice location
- **Address:** 1145 BROADWAY, Seattle, WA 98122-4201
- **Phone:** (206) 329-1760
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 908 clinicians in 54 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (171), Nurse Practitioner (162), Diagnostic Radiology (97); 22 practice at this address and 367 within 10 miles; [full list](https://npiprofile.com/npi/1174594634/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174594634) · Data from the CMS NPPES public registry.