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DR. SOPHIA WU CONLEY M.D.
NPI 1861759896
Pediatrics in Redmond, WA

Active since April 16, 2012PECOS Enrolled
18100 NE UNION HILL RD FL 2, REDMOND, WA 98052(425) 881-5437(425) 947-4521 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sophia Wu Conley M.d. NPPES

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

DR. SOPHIA WU CONLEY M.D. (NPI 1861759896) is an individual pediatrics provider in Redmond, Washington, licensed in Washington (60445634) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861759896
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SOPHIA WU CONLEYCredential: M.D.
Location Address18100 NE UNION HILL RD FL 2Redmond, WA 98052-3330
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (425) 881-8746
Phone(425) 881-5437
Fax(425) 947-4521
Sole ProprietorNo
Enumeration DateApril 16, 2012
Last NPPES UpdateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1861759896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WA · 60445634✔ Licensed in CA · A113718
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
18100 NE UNION HILL RD FL 2, Redmond, WA 98052
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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sophia Wu Conley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sophia Conley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seattle Children's Hospital
8.6 mi
Specialist
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group
NPI 1003319500 (206) 987-2000
Swedish Health Services
12 mi
Family Medicine
1600 7TH AVE STE 110
Seattle, WA 98101
  • Reassigned Medicare billing, Washington enrollment
  • 663 clinicians in this Medicare group
NPI 1073553947 (206) 267-4390

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. JENNIFER LAUREN HANNON NP
Nurse Practitioner (Pediatrics)
18100 NE UNION HILL RD FL 2
REDMOND, WA 98052
King County (425) 881-5437
LYDIA HILLIER PELTIER MD
Pediatrics
18100 NE UNION HILL RD FL 2
REDMOND, WA 98052
King County (425) 881-5437

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 Sophia Conley's NPI number?

The NPI number for Sophia Conley is 1861759896. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Sophia Conley located?

Sophia Conley practices at 18100 NE Union Hill Rd Fl 2, Redmond, WA 98052. The listed phone number is (425) 881-5437.

What is Sophia Conley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sophia Conley enrolled in Medicare?

Yes. Sophia Conley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophia Conley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Conley reassigns Medicare benefits to 2 organizations: Seattle Children's Hospital (Seattle, WA) and Swedish Health Services (Seattle, WA). Each 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 Sophia Conley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Conley accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sophia Conley 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 Sophia Conley was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.