POMA FERTILITY MEDICAL ASSOCIATES, PLLC
NPI 1669717278
Clinic/Center - Medical Specialty in Kirkland, WA

NPI Status: Active since December 07, 2012

Contact Information

12039 NE 128TH ST STE 110
KIRKLAND, WA
ZIP 98034
Phone: (425) 822-7662
Fax: (425) 822-0172

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • Accepts Insurance
  • CLIA Number: 50D2267114
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About POMA FERTILITY MEDICAL ASSOCIATES, PLLC

This page provides the complete NPI Profile along with additional information for Poma Fertility Medical Associates, Pllc, a provider established in Kirkland, Washington operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1669717278 assigned on December 2012. The practitioner's primary taxonomy code is 261QM2500X with license number MD00004391 (). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Michael S Opsahl M.d. (Manager)

NPI
1669717278
Provider Name
POMA FERTILITY MEDICAL ASSOCIATES, PLLC
Entity Type
Organization
Location Address
12039 NE 128TH ST STE 110 KIRKLAND, WA 98034
Location Phone
(425) 822-7662
Location Fax
(425) 822-0172
Mailing Address
12039 NE 128TH ST STE 110 KIRKLAND, WA 98034
Mailing Phone
(425) 822-7662
Mailing Fax
(425) 822-0172
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2012
Last Update Date
12-07-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
MD00004391
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL S OPSAHL M.D.

Authorized Official Title
MANAGER
Authorized Official Phone
(425) 822-7662

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2267114
Facility Type
Physician Office
Certificate Effective Date
August 20, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
LINGHONG KONG
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Poma Fertility Medical Associates, Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669717278, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 4 + 1 + 1 + 4 + 2 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1669717278.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Medical Specialty)
12039 NE 128TH ST STE 110
KIRKLAND, WA 98034
Physician Assistant
12039 NE 128TH ST STE 110
KIRKLAND, WA 98034
Obstetrics & Gynecology (Reproductive Endocrinology)
12039 NE 128TH ST STE 110
KIRKLAND, WA 98034
Midwife
12039 NE 128TH ST STE 110
KIRKLAND, WA 98034
Registered Nurse
12039 NE 128TH ST STE 110
KIRKLAND, WA 98034
Student in an Organized Health Care Education/Training Program
12039 NE 128TH ST STE 110
KIRKLAND, WA 98034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669717278, enumerated as an "organization" on December 07, 2012.

The provider is located at 12039 NE 128TH ST STE 110 KIRKLAND, WA 98034 and the phone number is (425) 822-7662.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.