OrganizationActive
Overlake Colon & Rectal Clinic, PLLC
NPI 1063688273 · Colon & Rectal Surgery Physician · Bellevue, WA
Provider details
- NPI number
- 1063688273
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mitra Ehsan, Owner(206) 669-7639
- License
- MD00039612 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1135 116th Ave Ne
Suite 190
Bellevue, WA 98004-4623
Phone: (425) 646-7400
Fax: (425) 646-7449
Street-level locationGet directions
Mailing address
Po Box 597
Bellevue, WA 98009-0597
Registry dates
- Enumerated
- 2008-05-07
- Last updated
- 2019-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.