Advanced Gastroenterology, PLLC
NPI 1003992090 · Gastroenterology Physician · Vancouver, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Gastroenterology, PLLC is a Gastroenterology Physician organization in Vancouver, WA (NPI 1003992090).
Provider details
- NPI number
- 1003992090
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Sim, Partner(360) 946-4313
- License
- MD00042129 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Frequently asked questions
- What is Advanced Gastroenterology, PLLC's NPI number?
- Advanced Gastroenterology, PLLC's National Provider Identifier (NPI) is 1003992090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Gastroenterology, PLLC?
- Advanced Gastroenterology, PLLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Gastroenterology, PLLC located?
- Advanced Gastroenterology, PLLC's practice location on file with NPPES is 3250 Se 164th Ave Ste 205, Vancouver, WA 98683-9313.
- What is Advanced Gastroenterology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Gastroenterology, PLLC is (360) 946-4313.
- Does Advanced Gastroenterology, PLLC accept Medicare?
- Advanced Gastroenterology, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Gastroenterology, PLLC?
- The authorized official listed on Advanced Gastroenterology, PLLC's NPPES record is Samuel Sim, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Gastroenterology, PLLC's NPI active?
- Yes — Advanced Gastroenterology, PLLC's NPI (1003992090) is active in the NPPES registry as of the last update on 2024-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.