Proliance Hand, Wrist and Elbow Physicians – Orthopaedic Hand Surgery Physician, NPI 1134165897
Orthopaedic Hand Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Proliance Hand, Wrist and Elbow Physicians
12911 120th Ave NE Ste H120
Kirkland, WA 980343062
Phone: (425) 823-4224
Fax: (425) 820-8975
Type: Location
12911 120TH AVE NE STE H220
KIRKLAND, WA 980343064
Phone: (425) 823-4224
Fax: (425) 820-8975
Type: Location
1810 116th Ave NE Ste D4
Bellevue, WA 980043058
Phone: (425) 283-5230
Fax: (425) 283-5236
Type: Location
751 NE Blakely Dr Fl 3
Issaquah, WA 980296201
Phone: (425) 283-5230
Fax: (425) 283-5236
Type: Location
18100 NE Union Hill Rd Ste 330
Redmond, WA 980523330
Phone: (425) 823-4224
Fax: (425) 820-8975
Type: Location
Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SUITE 901
SEATTLE, WA 981041172
Phone: (206) 264-8100
Type: Mailing
12911 120TH AVE NE STE G10
KIRKLAND, WA 980343048
Phone: (425) 823-4224
Fax: (425) 820-8975
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: 2016-04-07
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (15 days away).
Enrollment records
1
Earliest due date
2026-06-30
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 |
|---|---|---|---|---|
| O20160407002300 | O | Independently-Practicing Occupational Therapist | WA | 2026-06-30 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 98034)
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