Tukwila Ambulatory Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1104602846

Tukwila Ambulatory Surgery Center is a healthcare provider. based in Bellingham, Washington. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for Tukwila Ambulatory Surgery Center is 1104602846

Main info

Organization
Name
Tukwila Ambulatory Surgery Center
NPI
1104602846
Phone
Not provided
Address
4029 NORTHWEST AVE STE 301
Authorized Official
JOSH LEDER ADMINISTRATOR
Enumeration Date
7 September 2023
Last Update Date
7 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Tukwila Ambulatory Surgery Center

  • 4029 NORTHWEST AVE STE 301

    BELLINGHAM, WA 982269077

    Phone:

    Type: Mailing

  • 7200 S 180TH ST STE 104

    TUKWILA, WA 981885548

    Phone: (253) 983-9390

    Type: Location

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: 2023-07-19

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
O20230719000536OAmbulatory Surgical CenterWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98226)

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Reviews

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Frequently asked questions

Can I verify Tukwila Ambulatory Surgery Center with an NPI only?
You can start verification with NPI 1104602846 for Tukwila Ambulatory Surgery Center, then check state licensing separately.
Can I rely on Tukwila Ambulatory Surgery Center being an active provider?
As of the registry snapshot, Tukwila Ambulatory Surgery Center is marked active.
What taxonomy line describes Tukwila Ambulatory Surgery Center?
For research purposes, treat Tukwila Ambulatory Surgery Center as Ambulatory Surgical Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Tukwila Ambulatory Surgery Center on a map?
Expect Bellingham, Washington as a primary anchor for Tukwila Ambulatory Surgery Center unless the record lists multiple sites.
Is the information about Tukwila Ambulatory Surgery Center up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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