Active NPI
Bellevue Health Clinic, LLC
- Internal Medicine Physician
- Bellevue, WA
National Provider Identifier
1205487576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BELLEVUE HEALTH CLINIC, LLC
- Practice address
- 1417 116TH Ave NE Ste 204
Bellevue, WA 98004-3830 - Phone
- (425) 298-7771
- NPI assigned
- Sep 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jihua Jia, MD
- Title
- Governor
- Phone
- (425) 298-7771
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1417 116TH Ave NE Ste 204
Bellevue, WA 98004-3830
Mailing address
9240 SE Shoreland Dr
Bellevue, WA 98004-6519
Phone (425) 298-7771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1417 116th Ave NE
Ste 204
Bellevue, WA 98004
Phone (425) 298-7771
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1629357744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1205487576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9240 SE SHORELAND DR",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046519",
"telephone_number": "425-298-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 116TH AVE NE STE 204",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043830",
"telephone_number": "425-298-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLEVUE HEALTH CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-26",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "JIA",
"authorized_official_first_name": "JIHUA",
"authorized_official_title_or_position": "GOVERNOR",
"authorized_official_telephone_number": "425-298-7771",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
- Bellevue Family Counseling LLC
- Bellevue Family Medicine Associates P.S.
- Bellevue Gardens LLC
- Bellevue Hand Surgery
- Bellevue Haven Adult Family Home, Inc.
- Bellevue Healthcare LLC
- Bellevue Heart and Vascular Center, LLC
- Bellevue Home Health & Care, LLC
- Bellevue Hyperbarics,PLLC
- Bellevue Internal Medicine Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.