Organization Active NPI

Gurinder P Sahi MD PS

  • Health Service Clinic/Center
  • Redmond, WA
National Provider Identifier
1629157011
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
602 621 198 Issued in WA
Legal business name
GURINDER P SAHI MD PS
Practice address
2217 152ND Ave NE Ste 100
Redmond, WA 98052-5519
Phone
(425) 825-3900
Fax
(425) 821-2549
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Dr. Gurinder P Sahi, MDNPI 1588666135
Title
Chairman
Phone
(425) 825-3900

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
Health Service Clinic/Center 261QH0100X 602 621 198 WA Primary

Addresses

Primary practice location

2217 152ND Ave NE Ste 100
Redmond, WA 98052-5519

Mailing address

15127 NE 24TH St
PMB 510
Redmond, WA 98052-5544
Phone (425) 825-3900

Other names 1

  • Evergreen Internists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061121000328 WA Part B Supplier - Clinic/Group Practice 5496753790 Receives reassigned benefits from 5 practitioners
Practice locations: Issaquah, WA; Redmond, 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
50D2087483Evergreen Internists2217 152ND Ave NE Ste 100, Redmond, WA 98052Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

12911 120th Ave NE
Ste F280
Kirkland, WA 98034
Phone (425) 307-1559

2217 152nd Ave NE
Redmond, WA 98052

2217 152nd Ave NE
#100
Redmond, WA 98052
Phone (425) 825-3900

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1629157011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 NE 24TH ST",
            "address_2": "PMB 510",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525544",
            "telephone_number": "425-825-3900",
            "fax_number": "425-821-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 152ND AVE NE STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525519",
            "telephone_number": "425-825-3900",
            "fax_number": "425-821-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURINDER P SAHI MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "SAHI",
        "authorized_official_first_name": "GURINDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "425-825-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "602 621 198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Internists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evergreen Internists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.