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LAKE WASHINGTON VASCULAR PLLC
NPI 1942292875
Surgery - Vascular Surgery in Bellevue, WA

Active since August 17, 2005
1135 116TH AVE NE STE 305, BELLEVUE, WA 98004(425) 453-1772(425) 453-0603 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1942292875
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameLAKE WASHINGTON VASCULAR PLLC
Location Address1135 116TH AVE NE STE 305Bellevue, WA 98004-4623
Mailing AddressPo Box 94732Seattle, WA 98124-7032 · (425) 453-1772 · Fax (425) 453-0603
Phone(425) 453-1772
Fax(425) 453-0603
Organization SubpartNo
Authorized OfficialDaniel PepperManaging Partner, Pllc · (425) 453-1772
Enumeration DateAugust 17, 2005
Last NPPES UpdateFebruary 25, 2015
✔ NPI 1942292875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1135 116TH AVE NE STE 305, Bellevue, WA 98004
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Other Identifiers 3

OtherCH9340WA · Rr Medicare
Medicaid7105083WA
Medicare PINGAB18684WA

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

SOOYEON KIM M.D.
Surgery (Vascular Surgery)
1135 116TH AVE NE STE 305
BELLEVUE, WA 98004
King County (425) 453-1772
CONNIE L. ZASTROW M.D.
Surgery (Vascular Surgery)
1135 116TH AVE NE STE 305
BELLEVUE, WA 98004
King County (425) 453-1772
ELICA INAGAKI
Surgery (Vascular Surgery)
1135 116TH AVE NE STE 305
BELLEVUE, WA 98004
King County (425) 453-1772

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.

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.