OVERLAKE SURGERY CENTER LLC
NPI 1528145778
Clinic/Center - Ambulatory Surgical in Bellevue, WA

Q: What is Overlake Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 01, 2006CLIA 50D0975173 · Waiver

1135 116TH AVE NE, 300, BELLEVUE, WA 98004(425) 709-2500(425) 709-2323 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Overlake Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OVERLAKE SURGERY CENTER LLC (NPI 1528145778) is a healthcare organization registered as an ambulatory surgical in Bellevue, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Wendy J Taylor, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1528145778

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameOVERLAKE AMBULATORY SURGERY CENTER, LLC

Location Address1135 116TH AVE NE, 300Bellevue, WA 98004

Mailing Address1135 116th Ave Ne, Suite 300Bellevue, WA 98004 · (425) 709-2500 · Fax (425) 709-2323

Phone(425) 709-2500

Fax(425) 709-2323

Organization SubpartNo

Authorized OfficialWendy J TaylorExecutive Director · (425) 709-7523

Enumeration DateNovember 1, 2006

Last NPPES UpdateOctober 29, 2012

✔ NPI 1528145778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1135 116TH AVE NE, Bellevue, WA 98004

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Other Names 1

Doing Business AsOverlake Surgery Center Llc

Other Identifiers 5

Medicare ID-Type UnspecifiedAB17141WA

Medicaid7102890WA

Other362Premera Blue Cross

Other0141317Labor & Industries

Other903004Regence Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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 50D0975173

Overlake Surgery Center · Bellevue, WA

Active · expires Apr 4, 2028

CLIA Number50D0975173

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 28, 2000

Certificate Expiration DateApril 4, 2028

Laboratory DirectorClaire Bederaux-Cayne

Laboratory Phone(425) 709-7524

Laboratory LocationOverlake Surgery Center1135 116th Ave NE Ste 300, Bellevue, WA 98004

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

155 services103 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

118 services41 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

67 services38 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

52 services52 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

42 services19 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

39 services39 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH W DOUCETTE M.D.

Internal Medicine (Cardiovascular Disease)

1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004

King County (425) 454-2656

WASHINGTON IMAGING SERVICES LLC

Specialist

1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004

King County (425) 688-0100

ROANNE R E SELINGER MD

Internal Medicine (Gastroenterology)

1135 116TH AVE NE, #560
BELLEVUE, WA 98004

King County (425) 454-4768

OVERLAKE BREAST IMAGING LLC

Clinic/Center (Radiology)

1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004

King County (425) 467-3754

DAVID C MORTON M.D.

Internal Medicine

1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004

King County (425) 289-3100

SHIE-PON TZUNG MD PHD

Internal Medicine (Gastroenterology)

1135 116TH AVE NE, #560
BELLEVUE, WA 98004

King County (425) 454-4768

PROLIANCE SURGEONS INC., P.S.

Orthopaedic Surgery

1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004

King County (425) 455-3600

OVERLAKE MEDICAL TOWER PHARMACY

Pharmacy (Community/Retail Pharmacy)

1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004

King County (425) 688-5958

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 Overlake Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Overlake Ambulatory Surgery Center, LLC is 1528145778. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Overlake Surgery Center LLC.

Where is Overlake Ambulatory Surgery Center, LLC located?

Overlake Ambulatory Surgery Center, LLC is located at 1135 116th Ave NE 300, Bellevue, WA 98004. The listed phone number is (425) 709-2500.

What is Overlake Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Overlake Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0975173) 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 Overlake Ambulatory Surgery Center, LLC accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Overlake Ambulatory Surgery Center, LLC 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 Overlake Ambulatory Surgery Center, LLC was last updated on October 29, 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.