ST. PAUL MEDICAL CLINIC, P.S.
NPI 1265750830
Clinic/Center - Primary Care in Seattle, WA
About St. Paul Medical Clinic, P.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. PAUL MEDICAL CLINIC, P.S. (NPI 1265750830) is a healthcare organization registered as a primary care in Seattle, Washington and active in the NPI registry since May 2010. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Tony Pham, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
St. Paul Medical Clinic, P.s. 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 St. Paul Medical Clinic, P.S., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 50D2007058
St Paul Medical Clinic Ps · Seattle, WAFrequently 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 St. Paul Medical Clinic, P.S.'s NPI number?
The NPI number for St. Paul Medical Clinic, P.S. is 1265750830. It was assigned to this organization in the NPPES registry on May 6, 2010.
Where is St. Paul Medical Clinic, P.S. located?
St. Paul Medical Clinic, P.S. is located at 510 6th Ave S 101, Seattle, WA 98104. The listed phone number is (206) 240-0422.
What is St. Paul Medical Clinic, P.S.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is St. Paul Medical Clinic, P.S. enrolled in Medicare?
Yes. St. Paul Medical Clinic, P.S. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Paul Medical Clinic, P.S.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to St. Paul Medical Clinic, P.S.. 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 St. Paul Medical Clinic, P.S. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2007058) 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 St. Paul Medical Clinic, P.S. accept?
Health plans from Ambetter Health list St. Paul Medical Clinic, P.S. 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 St. Paul Medical Clinic, P.S. was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# St. Paul Medical Clinic, P.s. · NPI 1265750830
Primary Care organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since May 6, 2010.
## Identity
- **NPI:** 1265750830 (Entity type: Organization)
- **Enumerated:** May 6, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Tony Pham, PHYSICIAN/OWNER
## Practice location
- **Address:** 510 6TH AVE S, 101, Seattle, WA 98104-3877
- **Phone:** (206) 240-0422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265750830) · Data from the CMS NPPES public registry.