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EDWIN J LAI M.D.
NPI 1891824777
Internal Medicine - Gastroenterology in Bellevue, WA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
1135 116TH AVE NE, SUITE 560, BELLEVUE, WA 98004(425) 454-4768(425) 462-8021 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 21, 2019, May 2, 2019 (2 updates tracked since 2019).

About Edwin J Lai M.d. NPPES

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

EDWIN J LAI M.D. (NPI 1891824777) is an individual gastroenterology provider in Bellevue, Washington, licensed in Washington (00047860) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of University Of Washington School Of Medicine (1999).

NPPES Registry Identity

NPI1891824777
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameEDWIN J LAICredential: M.D.
Location Address1135 116TH AVE NE, SUITE 560Bellevue, WA 98004-4623
Mailing Address1135 116th Ave Ne Ste 560Bellevue, WA 98004-4631
Phone(425) 454-4768
Fax(425) 462-8021
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1999
Enumeration DateMarch 5, 2007
Last NPPES UpdateJune 21, 20192 updates tracked since enumeration
✔ NPI 1891824777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WA · 00047860
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1135 116TH AVE NE, Bellevue, WA 98004
Open in Google Maps ↗

Other Identifiers 1

Medicaid8490229WA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edwin J Lai M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305939653
PECOS Enrollment IDI20070904000128
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.

Areas of Expertise CMS Part B claims 9

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.

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.
70 services70 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.
70 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services41 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
40 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
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 20

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

MS. TAMMY RENEE BARRETT CRNA
Nurse Anesthetist, Certified Registered
1135 116TH AVE NE, SUITE 570
BELLEVUE, WA 98004
King County (425) 451-7335
JO KOENIG HALL CCC-A
Audiologist
1135 116TH AVE NE, SUITE 400
BELLEVUE, WA 98004
King County (206) 987-5770
MRS. ELIZABETH BROOKE REPASS SCM
Genetic Counselor, MS
1135 116TH AVE NE, SUITE 320
BELLEVUE, WA 98004
King County (425) 990-6254
ROBERT M GANNAN MD PHD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, 560
BELLEVUE, WA 98004
King County (425) 454-4768
DR. THOMAS DAE HUN CHI MD
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
WASHINGTON IMAGING SERVICES LLC
Specialist
1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004
King County (425) 688-0100
DR. JOHN L THAYER M.D.
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
CHIALIN WEY M.D.
Internal Medicine
1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004
King County (425) 289-3100

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 Edwin Lai's NPI number?

The NPI number for Edwin Lai is 1891824777. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Edwin Lai located?

Edwin Lai practices at 1135 116th Ave NE Suite 560, Bellevue, WA 98004. The listed phone number is (425) 454-4768.

What is Edwin Lai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Edwin Lai enrolled in Medicare?

Yes. Edwin Lai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edwin Lai accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Edwin Lai 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.

Is Edwin Lai affiliated with any hospitals?

According to CMS data, Edwin Lai is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Edwin Lai was last updated on June 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.