EVERGREEN SURGICAL CLINIC
NPI 1487691150
Surgery in Kirkland, WA
About Evergreen Surgical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN SURGICAL CLINIC (NPI 1487691150) is a healthcare organization registered as a surgery in Kirkland, Washington and active in the NPI registry since June 2006. The organization lists David G. Fitzgerald, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evergreen Surgical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
589Medicare enrollment records show 589 clinicians reassign Medicare billing to Evergreen Surgical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 214 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 589Source: 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 Proliance Surgeons, Inc., P.S.'s NPI number?
The NPI number for Proliance Surgeons, Inc., P.S. is 1487691150. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Evergreen Surgical Clinic.
Where is Proliance Surgeons, Inc., P.S. located?
Proliance Surgeons, Inc., P.S. is located at 12333 NE 130th Ln Suite 420, Kirkland, WA 98034. The listed phone number is (425) 899-5500.
What is Proliance Surgeons, Inc., P.S.'s specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Proliance Surgeons, Inc., P.S. enrolled in Medicare?
Yes. Proliance Surgeons, Inc., P.S. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Proliance Surgeons, Inc., P.S.?
According to the CMS Revalidation Reassignment List (October 2026 release), 589 clinicians in 27 Medicare specialties reassign their Medicare billing to Proliance Surgeons, Inc., 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. The largest specialties are Orthopedic Surgery (169), Physical Therapist in Private Practice (97) and Diagnostic Radiology (64). Of these, 1 practice at this address and 214 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 Proliance Surgeons, Inc., P.S. was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Evergreen Surgical Clinic · NPI 1487691150
Surgery organization in Kirkland, Washington. Organization record, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1487691150 (Entity type: Organization)
- **Enumerated:** June 1, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Legal business name:** Proliance Surgeons, Inc., P.s.
- **Organization subpart:** No
- **Authorized official:** David Fitzgerald, CEO
## Practice location
- **Address:** 12333 NE 130TH LN, SUITE 420, Kirkland, WA 98034-7467
- **Phone:** (425) 899-5500 · **Fax:** (425) 899-5529
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 589 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (169), Physical Therapist in Private Practice (97), Diagnostic Radiology (64); 1 practice at this address and 214 within 10 miles; [full list](https://npiprofile.com/npi/1487691150/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2011
- **Other identifiers:** Medicare ID-Type Unspecified AB24597 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1487691150) · Data from the CMS NPPES public registry.