SOUTH SOUND NEUROSURGERY PLLC
NPI 1417992389
Neurological Surgery in Puyallup, WA
About South Sound Neurosurgery Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SOUND NEUROSURGERY PLLC (NPI 1417992389) is a healthcare organization registered as a neurological surgery in Puyallup, Washington and active in the NPI registry since June 2006. The organization lists Cathie Rosa, Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Sound Neurosurgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to South Sound Neurosurgery PLLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (14)
Cleveland, OH 44195
Source: 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 South Sound Neurosurgery PLLC's NPI number?
The NPI number for South Sound Neurosurgery PLLC is 1417992389. It was assigned to this organization in the NPPES registry on June 17, 2006.
Where is South Sound Neurosurgery PLLC located?
South Sound Neurosurgery PLLC is located at 1519 3rd St SE Suite 101, Puyallup, WA 98372. The listed phone number is (253) 841-8939.
What is South Sound Neurosurgery PLLC's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is South Sound Neurosurgery PLLC enrolled in Medicare?
Yes. South Sound Neurosurgery PLLC is registered in the Medicare PECOS enrollment system.
When is South Sound Neurosurgery PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Sound Neurosurgery PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 8 Medicare specialties reassign their Medicare billing to South Sound Neurosurgery 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 Orthopedic Surgery (3), Anesthesiology (2) and Neurosurgery (2). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Sound Neurosurgery PLLC was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# South Sound Neurosurgery Pllc · NPI 1417992389
Neurological Surgery organization in Puyallup, Washington. Organization record, active in the CMS NPPES registry since June 17, 2006.
## Identity
- **NPI:** 1417992389 (Entity type: Organization)
- **Enumerated:** June 17, 2006
- **Primary specialty:** Neurological Surgery · taxonomy 207T00000X
- **Organization subpart:** No
- **Authorized official:** Cathie Rosa, BUSINESS MANAGER
## Practice location
- **Address:** 1519 3RD ST SE, SUITE 101, Puyallup, WA 98372-3742
- **Phone:** (253) 841-8939 · **Fax:** (253) 841-4528
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 14 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (3), Anesthesiology (2), Neurosurgery (2); 7 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417992389) · Data from the CMS NPPES public registry.