EDMONDS MEDICAL CLINIC INC
NPI 1376174979
Family Medicine in Edmonds, WA
About Edmonds Medical Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDMONDS MEDICAL CLINIC INC (NPI 1376174979) is a healthcare organization registered as a family medicine in Edmonds, Washington and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Steven Koh, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Edmonds Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Edmonds Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 50D2182610
Edmonds Medical Clinic · Edmonds, 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 Edmonds Medical Clinic Inc's NPI number?
The NPI number for Edmonds Medical Clinic Inc is 1376174979. It was assigned to this organization in the NPPES registry on February 1, 2020.
Where is Edmonds Medical Clinic Inc located?
Edmonds Medical Clinic Inc is located at 21600 Highway 99 Ste 280, Edmonds, WA 98026. The listed phone number is (360) 901-6355.
What is Edmonds Medical Clinic Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Edmonds Medical Clinic Inc enrolled in Medicare?
Yes. Edmonds Medical Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edmonds Medical Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Edmonds Medical Clinic Inc. 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 Edmonds Medical Clinic Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2182610) 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 Edmonds Medical Clinic Inc accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Edmonds Medical Clinic Inc 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 Edmonds Medical Clinic Inc was last updated on August 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Edmonds Medical Clinic Inc · NPI 1376174979
Family Medicine organization in Edmonds, Washington. Organization record, active in the CMS NPPES registry since February 1, 2020.
## Identity
- **NPI:** 1376174979 (Entity type: Organization)
- **Enumerated:** February 1, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Steven Koh, PRESIDENT
## Practice location
- **Address:** 21600 HIGHWAY 99 STE 280, Edmonds, WA 98026-8022
- **Phone:** (360) 901-6355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376174979) · Data from the CMS NPPES public registry.