Organization Active NPI

Pacific Medical Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bellevue, WA
National Provider Identifier
1427053164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PACIFIC MEDICAL SYSTEMS, INC.
Practice address
1407 132ND Ave NE
Ste 10
Bellevue, WA 98005-2259
Phone
(425) 462-0577
Fax
(425) 462-0432
NPI assigned
Jun 17, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dorothy Adam NowikNPI 1326254491
Title
President
Phone
(425) 462-0577

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
Durable Medical Equipment & Medical Supplies 332B00000X WA Primary

Addresses

Primary practice location

1407 132ND Ave NE
Ste 10
Bellevue, WA 98005-2259

Mailing address

1407 132ND Ave NE
Ste 10
Bellevue, WA 98005-2259
Phone (425) 462-0577

Other identifiers 1

IdentifierTypeStateIssuer
9037706MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061044 WA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 7517084783 Practice locations: Bellevue, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pacific Medical Systems, Inc.1407 132ND Ave NE, Bellevue, WA 98005-2259(425) 462-0577 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Sti… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1407 132nd Ave NE
Ste 10
Bellevue, WA 98005
Phone (425) 462-0577

Practitioners & affiliated clinicians

Practitioners 1

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": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427053164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 132ND AVE NE",
            "address_2": "STE 10",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052259",
            "telephone_number": "425-462-0577",
            "fax_number": "425-462-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 132ND AVE NE",
            "address_2": "STE 10",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052259",
            "telephone_number": "425-462-0577",
            "fax_number": "425-462-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWIK",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-462-0577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9037706",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.