Physican Care NW – Family Medicine Physician, NPI 1043513435
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Physican Care NW
5920 100TH ST SW STE 31
LAKEWOOD, WA 984992751
Phone: (253) 584-3023
Fax: (253) 582-1222
Type: Location
5920 100th St SW Ste 32
Lakewood, WA 984992751
Phone: (253) 582-7220
Fax: (253) 582-0586
Type: Location
32124 1st Ave S Ste 300
Federal Way, WA 980035761
Phone: (253) 941-0673
Fax: (253) 941-8109
Type: Location
5920 100TH ST SW STE 30
LAKEWOOD, WA 984992751
Phone: (253) 830-2030
Fax: (253) 830-2055
Type: Mailing
708 BROADWAY
SUITE 400
TACOMA, WA 984023778
Phone: (253) 627-4638
Fax: (253) 573-9511
Type: Mailing
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: 2011-10-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20111027000149 | O | Clinic/Group Practice | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98499)
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Reviews
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