FASSIL BELAY (PA-C) – Medical Physician Assistant, NPI 1083647606

FASSIL BELAY (PA-C) is a healthcare provider. based in Puyallup, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10004862 (WA). The NPI Number for FASSIL BELAY (PA-C) is 1083647606

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
FASSIL BELAY (PA-C)
NPI
1083647606
Phone
Not provided
Address
1703 S MERIDIAN STE 305
Enumeration Date
8 July 2006
Last Update Date
21 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538413933
Graduation Year
2004 (22 years ago)
PAC ID
9436168200
Group Practice PAC ID
6204194848
Professional Enrollment ID
I20060406000556
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for FASSIL BELAY (PA-C)

  • 305, South Meridian, Village Fair Shopping Center, Puyallup, Pierce County, Washington, 98371, United States

    PUYALLUP, WA 983717590

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060406000556IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes166125$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes121117$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3535$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 98371)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204194848View full group profile
NameSpecialtyState
P A T H O L O G YWA
Certified Registered Nurse Anesthetist (Crna)AK
Physician AssistantWA
-WA
Internal MedicineWA
Certified Registered Nurse Anesthetist (Crna)WA
G A S T R O E N T E R O L O G YWA
Nurse PractitionerCO
Certified Registered Nurse Anesthetist (Crna)WA
G A S T R O E N T E R O L O G YCO

Reviews

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Frequently asked questions

What unique ID ties claims to FASSIL BELAY (PA-C)?
NPI 1083647606 is assigned to FASSIL BELAY (PA-C) under the national enumeration system.
Does this profile mean FASSIL BELAY (PA-C) is currently active?
Yes — FASSIL BELAY (PA-C) appears active in the national provider directory.
What kind of provider is FASSIL BELAY (PA-C)?
The page reflects Medical Physician Assistant for FASSIL BELAY (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for FASSIL BELAY (PA-C)?
We surface Puyallup, Washington for FASSIL BELAY (PA-C) based on available NPPES addresses.
Is FASSIL BELAY (PA-C) a real provider?
This page reflects official NPPES data for NPI 1083647606. Always confirm identity and privileges with the practice and licensing boards.

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