LAKE WASHINGTON VASCULAR PLLC
NPI 1942292875
Surgery - Vascular Surgery in Bellevue, WA
About Lake Washington Vascular Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE WASHINGTON VASCULAR PLLC (NPI 1942292875) is a healthcare organization registered as a vascular surgery in Bellevue, Washington and active in the NPI registry since August 2005. The organization lists Daniel Pepper, Managing Partner, Pllc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted 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)
Lake Washington Vascular Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Lake Washington Vascular PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Lake Washington Vascular PLLC's NPI number?
The NPI number for Lake Washington Vascular PLLC is 1942292875. It was assigned to this organization in the NPPES registry on August 17, 2005.
Where is Lake Washington Vascular PLLC located?
Lake Washington Vascular PLLC is located at 1135 116th Ave NE Ste 305, Bellevue, WA 98004. The listed phone number is (425) 453-1772.
What is Lake Washington Vascular PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Lake Washington Vascular PLLC enrolled in Medicare?
Yes. Lake Washington Vascular PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Washington Vascular PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Lake Washington Vascular 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 Vascular Surgery (6) and Nurse Practitioner (3). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Washington Vascular PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Lake Washington Vascular PLLC 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 Lake Washington Vascular PLLC was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Lake Washington Vascular Pllc · NPI 1942292875
Vascular Surgery organization in Bellevue, Washington. Organization record, active in the CMS NPPES registry since August 17, 2005.
## Identity
- **NPI:** 1942292875 (Entity type: Organization)
- **Enumerated:** August 17, 2005
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Daniel Pepper, MANAGING PARTNER, PLLC
## Practice location
- **Address:** 1135 116TH AVE NE STE 305, Bellevue, WA 98004-4623
- **Phone:** (425) 453-1772 · **Fax:** (425) 453-0603
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Vascular Surgery (6), Nurse Practitioner (3); 5 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2015
- **Other identifiers:** Other CH9340 (WA); Medicaid 7105083 (WA); Medicare PIN GAB18684 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1942292875) · Data from the CMS NPPES public registry.