LAKE WASHINGTON PAIN MANAGEMENT
NPI 1427109271
Pain Medicine - Pain Medicine in Kirkland, WA
About Lake Washington Pain Management NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE WASHINGTON PAIN MANAGEMENT (NPI 1427109271) is a healthcare organization registered as a pain medicine in Kirkland, Washington and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists David Keith Naibert, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
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)
Lake Washington Pain Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Lake Washington Pain Management, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Compliance 50D1087992
Lake Washington Pain Management · Kirkland, 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 Lake Washington Private Medicine Inc's NPI number?
The NPI number for Lake Washington Private Medicine Inc is 1427109271. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Lake Washington Pain Management.
Where is Lake Washington Private Medicine Inc located?
Lake Washington Private Medicine Inc is located at 13122 120th Ave NE, Kirkland, WA 98034. The listed phone number is (425) 678-8534.
What is Lake Washington Private Medicine Inc's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Lake Washington Private Medicine Inc enrolled in Medicare?
Yes. Lake Washington Private Medicine Inc is registered in the Medicare PECOS enrollment system.
When is Lake Washington Private Medicine Inc'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 March 31, 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 Lake Washington Private Medicine Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Lake Washington Private Medicine Inc, in Nurse Practitioner and Pain Management. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lake Washington Private Medicine Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 50D1087992) 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 Lake Washington Private Medicine Inc accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Lake Washington Private Medicine 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 Lake Washington Private Medicine Inc was last updated on January 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lake Washington Pain Management · NPI 1427109271
Pain Medicine organization in Kirkland, Washington. Organization record, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1427109271 (Entity type: Organization)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Legal business name:** Lake Washington Private Medicine Inc
- **Organization subpart:** No
- **Authorized official:** David Naibert, OWNER
## Practice location
- **Address:** 13122 120TH AVE NE, Kirkland, WA 98034-3014
- **Phone:** (425) 678-8534 · **Fax:** (425) 678-8564
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Pain Management (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427109271) · Data from the CMS NPPES public registry.