Organization Active NPI

Bellingham Asthma Allergy Immunology Clinic PS

  • Allergy & Immunology Physician
  • Bellingham, WA
National Provider Identifier
1174672281
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25387 Issued in WA
Legal business name
BELLINGHAM ASTHMA ALLERGY IMMUNOLOGY CLINIC PS
Practice address
3015 Squalicum Pkwy
Ste 180
Bellingham, WA 98225-1945
Phone
(360) 733-5733
Fax
(360) 733-1859
NPI assigned
Jan 9, 2007
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Elkayam, MDNPI 1871589234
Title
President
Phone
(360) 733-5733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25387 WA Primary

Addresses

Primary practice location

3015 Squalicum Pkwy
Ste 180
Bellingham, WA 98225-1945

Mailing address

3015 Squalicum Pkwy
Ste 180
Bellingham, WA 98225-1945
Phone (360) 733-5733

Other identifiers 1

IdentifierTypeStateIssuer
7110646MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412000658 WA Part B Supplier - Clinic/Group Practice 6103810304 Receives reassigned benefits from 6 practitioners
Practice locations: Bellingham, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0897376Bellingham Asthma Allergy Mmunology Clinic3015 Squalicum Pkwy Suite 180, Bellingham, WA 98225Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

3015 Squalicum Pkwy
Ste 180
Bellingham, WA 98225
Phone (360) 588-1460

Interoperability endpoints

  • Direct secure messaging: andrewayars@baaicps.allscriptsdirect.net
  • Direct secure messaging: davidelkayam@baaicps.allscriptsdirect.net
  • Direct secure messaging: haleyward@baaicps.allscriptsdirect.net
  • Direct secure messaging: katherineanderson@baaicps.allscriptsdirect.net
  • Direct secure messaging: marthaserven@baaicps.allscriptsdirect.net
  • Direct secure messaging: sarahhall@baaicps.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1174672281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "STE 180",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-733-5733",
            "fax_number": "360-733-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "STE 180",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-733-5733",
            "fax_number": "360-733-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM ASTHMA ALLERGY IMMUNOLOGY CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "ELKAYAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-733-5733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "25387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7110646",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.