Active NPI
Interlake Medical Center, PLLC
- Family Medicine Physician
- Redmond, WA
National Provider Identifier
1619998978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INTERLAKE MEDICAL CENTER, PLLC
- Practice address
- 2103 152ND Ave NE
Redmond, WA 98052-5520 - Phone
- (425) 746-2400
- Fax
- (425) 746-2659
- NPI assigned
- Jul 22, 2006
- Last updated
- Sep 11, 2025
- 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
- Norman H. Leou, M.D.
- Title
- Managing Director
- Phone
- (425) 746-2400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
2103 152ND Ave NE
Redmond, WA 98052-5520
Mailing address
2103 152ND Ave NE
Redmond, WA 98052-5520
Phone (425) 746-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0630705 | Interlake Medical Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
2103 152nd Ave NE
Redmond, WA 98052
Phone (206) 746-2400
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Internal Medicine Physician
- Redmond, WA
- NPI 1407889173
-
- Internal Medicine Physician
- Redmond, WA
- NPI 1427083419
-
- Family Medicine Physician
- Yakima, WA
- NPI 1770601353
-
- Family Medicine Physician
- Redmond, WA
- NPI 1891806428
-
- Internal Medicine Physician
- Redmond, WA
- NPI 1144253303
-
- Family Medicine Physician
- Redmond, WA
- NPI 1760415251
-
- Internal Medicine Physician
- Redmond, WA
- NPI 1811146970
-
- Family Medicine Physician
- Davis, CA
- NPI 1225056807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1619998978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 152ND AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525520",
"telephone_number": "425-746-2400",
"fax_number": "425-746-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 152ND AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525520",
"telephone_number": "425-746-2400",
"fax_number": "425-746-2659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERLAKE MEDICAL CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LEOU",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "425-746-2400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Integrated Rehabilitation Group Inc (Redmond Ridge Physical & Hand Therapy)
- Invenia Therapeutic & Consultation Services, LLC
- Irene Chasen DDS PLLC (Chasen Smiles)
- Aarzu Jawaid Isa, DO
- Isb.Inc (Advanced Foot & Ankle Clinic of Bellevue)
- Tomomi Ito, MA, LMHC, CDP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.