OVERLAKE COLON & RECTAL CLINIC, PLLC – Colon & Rectal Surgery Physician, NPI 1063688273

OVERLAKE COLON & RECTAL CLINIC, PLLC is a healthcare provider. based in Bellevue, Washington. specializing in Colon & Rectal Surgery Physician. The organization holds a License No. MD00039612 (WA). The NPI Number for OVERLAKE COLON & RECTAL CLINIC, PLLC is 1063688273

Main info

Organization
Name
OVERLAKE COLON & RECTAL CLINIC, PLLC
NPI
1063688273
Phone
(206) 669-7639
Address
PO BOX 597
Authorized Official
MITRA EHSAN OWNER MD
Enumeration Date
7 May 2008
Last Update Date
4 September 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for OVERLAKE COLON & RECTAL CLINIC, PLLC

  • PO BOX 597

    BELLEVUE, WA 980090597

    Phone: (206) 669-7639

    Type: Mailing

  • 1135, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98004, United States

    SUITE 190

    BELLEVUE, WA 980044623

    Phone: (425) 646-7400

    Fax: (425) 646-7449

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 98009)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find OVERLAKE COLON & RECTAL CLINIC, PLLC's NPI?
You can confirm OVERLAKE COLON & RECTAL CLINIC, PLLC with NPI 1063688273; it appears in the national provider directory.
Is OVERLAKE COLON & RECTAL CLINIC, PLLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize OVERLAKE COLON & RECTAL CLINIC, PLLC's specialty in plain language?
Clinically, the directory lists OVERLAKE COLON & RECTAL CLINIC, PLLC with Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Does OVERLAKE COLON & RECTAL CLINIC, PLLC practice in Washington?
You will see Bellevue, Washington on file for OVERLAKE COLON & RECTAL CLINIC, PLLC alongside any extra practice locations.
Is OVERLAKE COLON & RECTAL CLINIC, PLLC a real provider?
This page reflects official NPPES data for NPI 1063688273. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. STEPHEN LEON GOLDMAN (M.D.)

Colon & Rectal Surgery Physician
Bellevue, Sourdeval, Avranches, Manche, Normandy, Metropolitan France, 50150, France
NPI: 1225080161

DR. MITRA EHSAN (MD)

Colon & Rectal Surgery Physician
1231 116TH AVE NE STE 930
NPI: 1053332098

DR. OLIVER ROBERT BIGGERS (MD)

Colon & Rectal Surgery Physician
Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
NPI: 1437265907

DR. JILL ELISABETH CLARK (M.D.)

Colon & Rectal Surgery Physician
1250, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
NPI: 1295922052

DR. PREETHA ALI (M.D.)

Surgery Physician
12520 NE 81ST LN
NPI: 1346404902

DR. IAN R WHITE (M.D.)

Colon & Rectal Surgery Physician
Aki Kurose Middle School, 3928, South Graham Street, Brighton, Rainier Valley, Seattle, King County, Washington, 98118, United States
NPI: 1699918169
1231 116TH AVE NE STE 535
NPI: 1578801718