PUGET SOUND GASTROENTEROLOGY, PLLC
NPI 1912929738
Internal Medicine - Gastroenterology in Mill Creek, WA

Active since July 24, 2006
16504 9TH AVE SE, SUITE 106, MILL CREEK, WA 98012(425) 977-4620(425) 745-9836 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2025, Dec 12, 2019 (2 updates tracked since 2019).

About Puget Sound Gastroenterology, Pllc NPPES

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

PUGET SOUND GASTROENTEROLOGY, PLLC (NPI 1912929738) is a healthcare organization registered as a gastroenterology in Mill Creek, Washington and active in the NPI registry since July 2006. The organization lists Alan Oliver, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912929738
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePUGET SOUND GASTROENTEROLOGY, PLLC
Location Address16504 9TH AVE SE, SUITE 106Mill Creek, WA 98012-6388
Mailing Address16504 9th Ave Se, Suite 106Mill Creek, WA 98012-6388 · (425) 977-4620 · Fax (425) 745-9836
Fax(425) 745-9836
Organization SubpartNo
Authorized OfficialAlan OliverCeo · (786) 530-3820
Enumeration DateJuly 24, 2006
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1912929738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
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.
16504 9TH AVE SE, Mill Creek, WA 98012

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Puget Sound Gastroenterology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

83

Medicare enrollment records show 83 clinicians reassign Medicare billing to Puget Sound Gastroenterology, PLLC, which bills Medicare for the services they deliver. Of these, 24 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Gastroenterology48
Nurse Practitioner27
Pathology6
Internal Medicine2

Nearest to this location (20)

See all 83
Pathology
NPI 1972036234
19000 33RD AVE W STE 230
Lynnwood, WA 98036
(425) 686-7138
✔ PECOS✔ Accepts Medicare3.1 mi
Pathology
NPI 1225209471
19000 33RD AVE W STE 230
Lynnwood, WA 98036
(425) 686-7138
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1972581387
21600 HIGHWAY 99 STE 230
Edmonds, WA 98026
(206) 215-4250
✔ PECOS✔ Accepts Medicare6.0 mi
Gastroenterology
NPI 1326019167
21600 HIGHWAY 99 STE 260
Edmonds, WA 98026
(425) 774-2650
✔ PECOS✔ Accepts Medicare6.0 mi
Nurse Practitioner
NPI 1912268004
21600 HIGHWAY 99 STE 260
Edmonds, WA 98026
(425) 774-2650
✔ PECOS✔ Accepts Medicare6.0 mi
Gastroenterology
NPI 1619178027
21600 HIGHWAY 99 STE 260
Edmonds, WA 98026
(425) 774-2650
✔ PECOS✔ Accepts Medicare6.0 mi
Gastroenterology
NPI 1578537031
21600 HIGHWAY 99 STE 260
Edmonds, WA 98026
(425) 774-2650
✔ PECOS✔ Accepts Medicare6.0 mi
Gastroenterology
NPI 1174544712
21600 HWY 99 SUITE 260
Edmonds, WA 98026
(425) 774-2650
✔ PECOS✔ Accepts Medicare6.0 mi
Gastroenterology
NPI 1912924739
21600 HWY 99 SUITE 260
Edmonds, WA 98026
(425) 774-2650
✔ PECOS✔ Accepts Medicare6.0 mi
Nurse Practitioner
NPI 1619137718
4526 FEDERAL AVE
Everett, WA 98203
(425) 349-6200
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1518201730
3927 RUCKER AVE
Everett, WA 98201
(425) 339-5421
✔ PECOS✔ Accepts Medicare8.1 mi
Gastroenterology
NPI 1003844622
11800 NE 128TH ST SUITE 100
Kirkland, WA 98034
(425) 899-4500
✔ PECOS✔ Accepts Medicare9.3 mi
Gastroenterology
NPI 1184603425
11800 NE 128TH ST SUITE 100
Kirkland, WA 98034
(425) 899-4500
✔ PECOS✔ Accepts Medicare9.3 mi
Gastroenterology
NPI 1124088430
11800 NE 128TH ST SUITE 100
Kirkland, WA 98034
(425) 899-4500
✔ PECOS✔ Accepts Medicare9.3 mi
Gastroenterology
NPI 1801909692
11800 NE 128TH ST SUITE 100
Kirkland, WA 98034
(425) 899-4500
✔ PECOS✔ Accepts Medicare9.3 mi
Gastroenterology
NPI 1538148879
11800 NE 128TH ST SUITE 100
Kirkland, WA 98034
(425) 899-4500
✔ PECOS✔ Accepts Medicare9.3 mi
Gastroenterology
NPI 1528027927
11800 NE 128TH ST SUITE 100
Kirkland, WA 98034
(425) 899-4500
✔ PECOS9.3 mi
Nurse Practitioner
NPI 1619261930
11800 NE 128TH ST SUITE 100
Kirkland, WA 98034
(425) 899-4500
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1689521254
11800 NE 128TH ST STE 100
Kirkland, WA 98034
(425) 899-4500
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1013724244
11800 NE 128TH ST STE 100
Kirkland, WA 98034
(425) 899-4500
✔ PECOS✔ Accepts Medicare9.3 mi
See all 83 clinicians

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

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 Puget Sound Gastroenterology, PLLC's NPI number?

The NPI number for Puget Sound Gastroenterology, PLLC is 1912929738. It was assigned to this organization in the NPPES registry on July 24, 2006.

Where is Puget Sound Gastroenterology, PLLC located?

Puget Sound Gastroenterology, PLLC is located at 16504 9th Ave SE Suite 106, Mill Creek, WA 98012. The listed phone number is (425) 977-4620.

What is Puget Sound Gastroenterology, PLLC's specialty?

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

Is Puget Sound Gastroenterology, PLLC enrolled in Medicare?

Yes. Puget Sound Gastroenterology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Puget Sound Gastroenterology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 83 clinicians in 4 Medicare specialties reassign their Medicare billing to Puget Sound Gastroenterology, 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 Gastroenterology (48), Nurse Practitioner (27) and Pathology (6). Of these, 24 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Puget Sound Gastroenterology, PLLC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.