Organization Active NPI

Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
National Provider Identifier
1477027381
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAIYA HEALTHCARE PLLC
Practice address
11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444
Phone
(206) 823-1004
Fax
(206) 309-3319
NPI assigned
Jan 14, 2019
Last updated
Apr 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Bhupinder Walia, MDNPI 1801039649
Title
Ceo
Phone
(206) 823-1004

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444

Mailing address

11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444
Phone (206) 823-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, ID, NM, ND, CA, AR, TX, KS, MO, OK, CO12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20190501001702 WA Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 28 practitioners
Practice locations: Bellevue, WA
O20200309000992 OR Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 49 practitioners
Practice locations: Saint Helens, OR; Portland, OR
O20200626002315 ID Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 1 practitioner
Practice locations: Coeur D Alene, ID
O20200903001256 NM Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 49 practitioners
Practice locations: Albuquerque, NM
O20210511001011 ND Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND
O20210518002646 CA Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 23 practitioners
Practice locations: West Sacramento, CA; San Ramon, CA
O20220902002597 AR Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 7 practitioners
Practice locations: Hot Springs, AR
O20231025004091 TX Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 22 practitioners
Practice locations: Dallas, TX
O20240319003478 KS Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 7 practitioners
Practice locations: Wichita, KS
O20240327002305 MO Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 1 practitioner
Practice locations: Grandview, MO
O20240404000264 OK Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK
O20240923000234 CO Part B Supplier - Clinic/Group Practice 6002158615 Receives reassigned benefits from 5 practitioners
Practice locations: Brighton, CO

National Provider Directory

National Provider Directory

Locations

7600 Jefferson St NE
Albuquerque, NM 87109

5515 Glen Lakes Dr
#D
Dallas, TX 75231

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Hills Health & RehabilitationPortland, OR, CCN 385112 Skilled nursing facility Other Jul 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 212

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.

View all 212

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1477027381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NE 33RD PL STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041444",
            "telephone_number": "206-823-1004",
            "fax_number": "206-309-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NE 33RD PL STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041444",
            "telephone_number": "206-823-1004",
            "fax_number": "206-309-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAIYA HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "WALIA",
        "authorized_official_first_name": "BHUPINDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-823-1004",
        "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

Sources for this page

Verify at the official NPI Registry.