BELLEGROVE OB/GYN, INC. PS – Obstetrics & Gynecology Physician, NPI 1104931039

BELLEGROVE OB/GYN, INC. PS is a healthcare provider. based in Bellevue, Washington. specializing in Obstetrics & Gynecology Physician. The organization holds a License No. 600249764 (WA). The NPI Number for BELLEGROVE OB/GYN, INC. PS is 1104931039

Main info

Organization
Name
BELLEGROVE OB/GYN, INC. PS
NPI
1104931039
Phone
(425) 455-0244
Address
1200 112TH AVE NE STE C115
Authorized Official
MITCHELL E NUDELMAN PRESIDENT MD
Enumeration Date
20 August 2006
Last Update Date
11 May 2017
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

Provider Addresses for BELLEGROVE OB/GYN, INC. PS

  • 1200 112TH AVE NE STE C115

    BELLEVUE, WA 980043745

    Phone: (425) 455-0244

    Fax: (425) 455-9411

    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.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 98004)

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Frequently asked questions

How do payers reference BELLEGROVE OB/GYN, INC. PS?
For BELLEGROVE OB/GYN, INC. PS, use NPI 1104931039 as the unique 10-digit identifier.
Is there an active status for BELLEGROVE OB/GYN, INC. PS?
For scheduling context, BELLEGROVE OB/GYN, INC. PS is shown as active in the registry.
What area of care is associated with BELLEGROVE OB/GYN, INC. PS?
BELLEGROVE OB/GYN, INC. PS's record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BELLEGROVE OB/GYN, INC. PS?
Travel planning: use Bellevue, Washington as the reference point for BELLEGROVE OB/GYN, INC. PS, then confirm.
When was this NPI issued?
Enumeration for BELLEGROVE OB/GYN, INC. PS is noted as August 20, 2006 where the registry provides it.

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