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OVERLAKE MEDICAL CLINICS, LLC
NPI 1801828421
Specialist in Bellevue, WA

Active since July 06, 2006CLIA Certified · 4 labs
1135 116TH AVE NE, SUITE 110, BELLEVUE, WA 98004(425) 688-5670(425) 688-5124 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Overlake Medical Clinics, Llc NPPES

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

OVERLAKE MEDICAL CLINICS, LLC (NPI 1801828421) is a healthcare organization registered as a specialist in Bellevue, Washington and active in the NPI registry since July 2006. The organization holds 4 active CLIA laboratory certificates and lists David Schultz, Coo, as its authorized official.

NPPES Registry Identity

NPI1801828421
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOVERLAKE MEDICAL CLINICS, LLC
Location Address1135 116TH AVE NE, SUITE 110Bellevue, WA 98004
Mailing AddressPo Box 3947, Ms 315010Seattle, WA 98124-3947 · (425) 688-5670 · Fax (425) 688-5139
Phone(425) 688-5670
Fax(425) 688-5124
Organization SubpartNo
Authorized OfficialDavid SchultzCoo · (425) 688-5470
Enumeration DateJuly 6, 2006
Last NPPES UpdateOctober 16, 2013
✔ NPI 1801828421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1135 116TH AVE NE, Bellevue, WA 98004
Open in Google Maps ↗

Other Identifiers 2

Medicaid7102015WA
Medicare PINGAB06825WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Overlake Medical Clinics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

562

Medicare enrollment records show 562 clinicians reassign Medicare billing to Overlake Medical Clinics, LLC, which bills Medicare for the services they deliver. Of these, 87 practice at this address and 391 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 46

Nurse Practitioner98
Family Practice89
Internal Medicine63
Neurology42
Obstetrics/Gynecology31
Physical Therapist in Private Practice31
Emergency Medicine21
Psychiatry21
38 other specialties166

Nearest to this location (20)

See all 562
Joseph Doucette, M.D.
Interventional Cardiology
NPI 1003839028
1135 116TH AVE NE SUITE 600
Bellevue, WA 98004
(425) 454-2656
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Miller, MD
Urology
NPI 1639257090
1135 NE 116TH AVE SUITE 620
Bellevue, WA 98004
(425) 454-8016
✔ PECOS✔ Accepts MedicareSame address
Thomas Amidon, M.D.
Cardiovascular Disease (Cardiology)
NPI 1699736579
1135-116TH AVENUE NE SUITE 600
Bellevue, WA 98004
(425) 454-2656
✔ PECOS✔ Accepts MedicareSame address
Michael Bota, M.D.
Internal Medicine
NPI 1447488176
1135 116TH AVE NE STE 450
Bellevue, WA 98004
(425) 289-3130
✔ PECOS✔ Accepts MedicareSame address
Thomas Bullock, MD
Epileptologists
NPI 1578907671
1135 116TH AVE NE STE 500
Bellevue, WA 98004
(801) 699-8936
✔ PECOS✔ Accepts MedicareSame address
Maliha Burney, M.D
Hospitalist
NPI 1326353590
1135 116TH AVE NE SUITE 110
Bellevue, WA 98004
(425) 289-3100
✔ PECOS✔ Accepts MedicareSame address
Candi Coeuille, RN
Nurse Practitioner
NPI 1720849003
1135 116TH AVE NE STE 600
Bellevue, WA 98004
(425) 454-2656
✔ PECOS✔ Accepts MedicareSame address
Chelsea Donnet, MD
Nephrology
NPI 1811573462
1135 116TH AVE NE STE 500
Bellevue, WA 98004
(425) 635-6560
✔ PECOS✔ Accepts MedicareSame address
John Heywood, M.D.
Cardiac Electrophysiology
NPI 1871513341
1135 116TH AVE NE SUITE 600
Bellevue, WA 98004
(425) 454-2656
✔ PECOS✔ Accepts MedicareSame address
Elica Inagaki
Vascular Surgery
NPI 1689930380
1135 116TH AVE NE STE 305
Bellevue, WA 98004
(425) 453-1772
✔ PECOS✔ Accepts MedicareSame address
Olav Jaren, M.D.
Neurology
NPI 1992863252
1135 116TH AVE NE STE 500
Bellevue, WA 98004
(425) 709-7055
✔ PECOS✔ Accepts MedicareSame address
David Nelson, M.D.
Thoracic Surgery
NPI 1093789703
1135-116TH AVENUE NE SUITE 605
Bellevue, WA 98004
(425) 454-8161
✔ PECOS✔ Accepts MedicareSame address
April Phantana Angkool, M.D.
Surgical Oncology
NPI 1114153749
1135 116TH AVE NE STE 200
Bellevue, WA 98004
(425) 688-0212
✔ PECOS✔ Accepts MedicareSame address
Ian White, M.D.
Colorectal Surgery (Proctology)
NPI 1699918169
1135-116TH AVENUE NE SUITE 550
Bellevue, WA 98004
(425) 646-7400
✔ PECOS✔ Accepts MedicareSame address
Robert Binford, M.D.
Cardiac Surgery
NPI 1427040369
1135 116TH AVE NE STE 605
Bellevue, WA 98004
(425) 454-8161
✔ PECOS✔ Accepts MedicareSame address
Jonathan Choi, M.D.
Neurosurgery
NPI 1982862942
1135 116TH AVE NE STE 500
Bellevue, WA 98004
(425) 635-6560
✔ PECOSSame address
Eileen Consorti, M.D.
General Surgery
NPI 1235171307
1135 116TH AVE NE STE 200
Bellevue, WA 98004
(425) 688-0212
✔ PECOSSame address
Linda Overbay, PT
Physical Therapist in Private Practice
NPI 1285785717
1135 116TH AVE NE
Bellevue, WA 98004
(206) 240-0419
Same address
Herbie Yung, M.D.
Physical Medicine and Rehabilitation
NPI 1851666929
1135 116TH AVE NE STE 510
Bellevue, WA 98004
(425) 394-1200
✔ PECOS✔ Accepts MedicareSame address
Radha Agrawal, MD
Pulmonary Disease
NPI 1881629798
1135 116TH AVE NE SUITE 600
Bellevue, WA 98004
(425) 454-2671
✔ PECOS✔ Accepts MedicareSame address
See all 562 clinicians

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 4

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 50D0697101

Overlake Medical Clinics - Urology Bellevue · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D0697101
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMartin Wall
Laboratory Phone(425) 569-7591
Laboratory LocationOverlake Medical Clinics - Urology Bellevue1135 116th Ave NE Ste 620, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2122663

Overlake Medical Clinics Pelvic Health Clinic · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2122663
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJulie Lacombe
Laboratory Phone(425) 635-3450
Laboratory LocationOverlake Medical Clinics Pelvic Health Clinic1135 116th Ave NE Ste 510, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 50D1037801

Overlake Medical Clinics Pulmonary · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D1037801
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2005
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJames Copeland
Laboratory Phone(425) 450-6114
Laboratory LocationOverlake Medical Clinics Pulmonary1231 116th Ave NE Ste 400, Bellevue, WA 98004
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 50D2013680

Overlake Medical Clinics Downtown Bellevue Urgent Care · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2013680
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNafiseh Haghgoo
Laboratory Phone(425) 635-6350
Laboratory LocationOverlake Medical Clinics Downtown Bellevue Urgent Care10223 NE 10th St, Bellevue, WA 98004
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Medical Clinics, LLC's NPI number?

The NPI number for Overlake Medical Clinics, LLC is 1801828421. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Overlake Medical Clinics, LLC located?

Overlake Medical Clinics, LLC is located at 1135 116th Ave NE Suite 110, Bellevue, WA 98004. The listed phone number is (425) 688-5670.

What is Overlake Medical Clinics, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Overlake Medical Clinics, LLC enrolled in Medicare?

Yes. Overlake Medical Clinics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Overlake Medical Clinics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 562 clinicians in 46 Medicare specialties reassign their Medicare billing to Overlake Medical Clinics, LLC. 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 Nurse Practitioner (98), Family Practice (89) and Internal Medicine (63). Of these, 87 practice at this address and 391 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Overlake Medical Clinics, LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Overlake Medical Clinics, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Overlake Medical Clinics, 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 Medical Clinics, LLC was last updated on October 16, 2013. 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.