OPTUM TACOMA
NPI 1831411487
Durable Medical Equipment & Medical Supplies in Tacoma, WA
About Optum Tacoma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTUM TACOMA (NPI 1831411487) is a healthcare organization registered as a durable medical equipment & medical supplies in Tacoma, Washington and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Craig Pepin, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 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)
Optum Tacoma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
908Medicare enrollment records show 908 clinicians reassign Medicare billing to Optum Tacoma, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 54
Nearest to this location (20)
See all 908Source: 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 Waiver 50D2217781
The Polyclinic Dba Optumcare Washington · Tacoma, 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 The Polyclinic PLLC's NPI number?
The NPI number for The Polyclinic PLLC is 1831411487. It was assigned to this organization in the NPPES registry on February 24, 2010. The provider is doing business as Optum Tacoma.
Where is The Polyclinic PLLC located?
The Polyclinic PLLC is located at 1812 S J St Ste 102, Tacoma, WA 98405. The listed phone number is (253) 552-4900.
What is The Polyclinic PLLC's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Is The Polyclinic PLLC enrolled in Medicare?
Yes. The Polyclinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Polyclinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 908 clinicians in 54 Medicare specialties reassign their Medicare billing to The Polyclinic PLLC. 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 Family Practice (171), Nurse Practitioner (162) and Diagnostic Radiology (97). Of these, 4 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does The Polyclinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2217781) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for The Polyclinic PLLC was last updated on October 3, 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.
# Optum Tacoma · NPI 1831411487
Durable Medical Equipment & Medical Supplies organization in Tacoma, Washington. Organization record, active in the CMS NPPES registry since February 24, 2010.
## Identity
- **NPI:** 1831411487 (Entity type: Organization)
- **Enumerated:** February 24, 2010
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Legal business name:** The Polyclinic Pllc
- **Organization subpart:** No
- **Authorized official:** Craig Pepin, PHYSICIAN/OWNER
## Practice location
- **Address:** 1812 S J ST STE 102, Tacoma, WA 98405-4965
- **Phone:** (253) 552-4900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 908 clinicians in 54 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (171), Nurse Practitioner (162), Diagnostic Radiology (97); 4 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1831411487/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831411487) · Data from the CMS NPPES public registry.