CREEKSIDE SLEEP MEDICINE CENTER PLLC
NPI 1184841256
Family Medicine - Sleep Medicine in Bellevue, WA

NPI Status: Active since April 19, 2007

Contact Information

1380 112TH AVE NE
#307
BELLEVUE, WA
ZIP 98004
Phone: (425) 278-2250
Fax: (425) 562-5885

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  • Organization
  • Family Medicine
  • Sleep Medicine

About CREEKSIDE SLEEP MEDICINE CENTER PLLC

This page provides the complete NPI Profile along with additional information for Creekside Sleep Medicine Center Pllc, a provider established in Bellevue, Washington operating as a Family Medicine, focusing in sleep medicine . The healthcare provider is registered in the NPI registry with number 1184841256 assigned on April 2007. The practitioner's primary taxonomy code is 207QS1201X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Teresa E. Jacobs M.d. (Medical Director)

NPI
1184841256
Provider Name
CREEKSIDE SLEEP MEDICINE CENTER PLLC
Entity Type
Organization
Location Address
1380 112TH AVE NE #307 BELLEVUE, WA 98004
Location Phone
(425) 278-2250
Location Fax
(425) 562-5885
Mailing Address
1380 112TH AVE NE #307 BELLEVUE, WA 98004
Mailing Phone
(425) 278-2250
Mailing Fax
(425) 562-5885
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2007
Last Update Date
12-13-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sleep Medicine

Taxonomy Code
207QS1201X
Type
Allopathic & Osteopathic Physicians
License State
WA
Taxonomy Description
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QS1200XAmbulatory Health Care Facilities

Clinic/Center
Sleep Disorder Diagnostic

602620178 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TERESA E. JACOBS M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(425) 278-2250

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G8868739MEDICARE UPIN (02)WA 
602620178OTHER (01)WAUBI
G8868739MEDICARE PIN (08)WA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184841256, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 6 + 4 + 2 + 2 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1184841256.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1380 112TH AVE NE, SUITE 205
BELLEVUE, WA 98004
Family Medicine
1380 112TH AVE NE, #100
BELLEVUE, WA 98004
Nurse Practitioner (Adult Health)
1380 112TH AVE NE, #100
BELLEVUE, WA 98004
Dentist (General Practice)
1380 112TH AVE NE, SUITE 203
BELLEVUE, WA 98004
Internal Medicine (Sleep Medicine)
1380 112TH AVE NE, #307
BELLEVUE, WA 98004
Psychologist (Clinical)
1380 112TH AVE NE, STE 101
BELLEVUE, WA 98004
Behavior Technician
1380 112TH AVE NE
BELLEVUE, WA 98004
Behavior Technician
1380 112TH AVE NE, SUITE 206
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184841256, enumerated as an "organization" on April 19, 2007.

The provider is located at 1380 112TH AVE NE #307 BELLEVUE, WA 98004 and the phone number is (425) 278-2250.

Family Medicine with taxonomy code 207QS1201X and a focus in Sleep Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.