EASTHILL MEDICAL CLINIC LLC
NPI 1245630979
Clinic/Center - Primary Care in Kent, WA

Active since August 29, 2014CLIA 50D0930497 · Waiver
10413 SE 244TH ST, KENT, WA 98030(253) 852-2770 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Easthill Medical Clinic Llc NPPES

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

EASTHILL MEDICAL CLINIC LLC (NPI 1245630979) is a healthcare organization registered as a primary care in Kent, Washington and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Efren Caratao, Jr., Business Owner, as its authorized official.

NPPES Registry Identity

NPI1245630979
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEASTHILL MEDICAL CLINIC LLC
Location Address10413 SE 244TH STKent, WA 98030-4961
Mailing Address10413 Se 244th StKent, WA 98030-4961 · (253) 852-2770
Organization SubpartNo
Authorized OfficialEfren Caratao, Jr.Business Owner · (253) 852-2770
Enumeration DateAugust 29, 2014
Last NPPES UpdateNovember 3, 2014
✔ NPI 1245630979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WA · MD 00028063
10413 SE 244TH ST, Kent, WA 98030

Other Identifiers 2

Medicare UPIN21700714WA
Medicaid208D00000XWA

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)

Easthill Medical Clinic Llc 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 Easthill Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Practice
NPI 1366502601
10413 SE 244TH ST
Kent, WA 98030
(253) 852-2770
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174818421
10413 SE 244TH ST
Kent, WA 98030
(253) 852-2770
✔ 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 50D0930497

East Hill Medical Clinic · Kent, WA
Active · expires Apr 4, 2028
CLIA Number50D0930497
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 1997
Certificate Expiration DateApril 4, 2028
Laboratory DirectorEfren R. Cavatao
Laboratory Phone(253) 852-2770
Laboratory LocationEast Hill Medical Clinic10413 SE 244th Street, Kent, WA 98031
CLIA data matches this NPI record on: Address Phone
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 Easthill Medical Clinic LLC's NPI number?

The NPI number for Easthill Medical Clinic LLC is 1245630979. It was assigned to this organization in the NPPES registry on August 29, 2014.

Where is Easthill Medical Clinic LLC located?

Easthill Medical Clinic LLC is located at 10413 SE 244th St, Kent, WA 98030. The listed phone number is (253) 852-2770.

What is Easthill Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Easthill Medical Clinic LLC enrolled in Medicare?

Yes. Easthill Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Easthill Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Easthill Medical Clinic LLC, in Family Practice and General Practice. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Easthill Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0930497) 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 Easthill Medical Clinic LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Easthill Medical Clinic LLC 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 Easthill Medical Clinic LLC was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.