IDEAL TELEMEDICINE SERVICES, LLC – Clinic/Center, NPI 1346754868
Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for IDEAL TELEMEDICINE SERVICES, LLC
Dunbarton Avenue, Pasco, Franklin County, Washington, United States
PASCO, WA 993018216
Phone: (509) 570-9302
Fax: (833) 888-7145
Type: Location
West Gage Boulevard, Kennewick, Benton County, Washington, 99336-1117, United States
KENNEWICK, WA 993367145
Phone: (509) 222-1275
Fax: (509) 491-3031
Type: Mailing
500 SW 7TH ST STE A205
RENTON, WA 980572983
Phone: (877) 522-1275
Fax: (833) 888-7145
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: 2026-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (648 days ago).
Enrollment records
20
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20190625003692 | O | Clinic/Group Practice | MD | 2024-08-31 |
| O20190708000200 | O | Clinic/Group Practice | MT | 2026-02-28 |
| O20190710001382 | O | Clinic/Group Practice | ND | 2026-03-31 |
| O20190715003330 | O | Clinic/Group Practice | OR | 2026-04-30 |
| O20190716002000 | O | Clinic/Group Practice | WA | 2026-05-31 |
| O20190716002529 | O | Clinic/Group Practice | ID | 2026-06-30 |
| O20190717000702 | O | Clinic/Group Practice | AK | 2026-07-31 |
| O20190729002948 | O | Clinic/Group Practice | NE | TBD |
| O20191127001612 | O | Clinic/Group Practice | DC | TBD |
| O20200311000756 | O | Clinic/Group Practice | AR | 2026-08-31 |
| O20200316002248 | O | Clinic/Group Practice | WV | 2026-09-30 |
| O20200406000172 | O | Clinic/Group Practice | NM | 2026-10-31 |
| O20240618002043 | O | Clinic/Group Practice | TN | TBD |
| O20240619002157 | O | Clinic/Group Practice | CA | TBD |
| O20240624001247 | O | Clinic/Group Practice | ME | TBD |
| O20240816003212 | O | Clinic/Group Practice | MI | TBD |
| O20240819001590 | O | Clinic/Group Practice | SC | TBD |
| O20250508000196 | O | Clinic/Group Practice | WI | TBD |
| O20250813000012 | O | Clinic/Group Practice | TX | TBD |
| O20260219004579 | O | Clinic/Group Practice | PA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 99301)
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