Bellevue Obgyn LLC
NPI 1104124247 · Obstetrics & Gynecology Physician · Bellevue, WA
Bellevue Obgyn LLC is a Obstetrics & Gynecology Physician organization in Bellevue, WA (NPI 1104124247).
Provider details
- NPI number
- 1104124247
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Fan, Member(425) 698-1588
- License
- MD60122545 (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
15 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
- 2011-03-13
- Last updated
- 2012-08-10
Frequently asked questions
- What is Bellevue Obgyn LLC's NPI number?
- Bellevue Obgyn LLC's National Provider Identifier (NPI) is 1104124247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bellevue Obgyn LLC?
- Bellevue Obgyn LLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Bellevue Obgyn LLC located?
- Bellevue Obgyn LLC's practice location on file with NPPES is 1515 116th Ave Ne, Bellevue, WA 98004-3811.
- What is Bellevue Obgyn LLC's phone number?
- The practice phone number listed in the NPPES registry for Bellevue Obgyn LLC is (425) 698-1588.
- Who is the authorized official for Bellevue Obgyn LLC?
- The authorized official listed on Bellevue Obgyn LLC's NPPES record is Mark Fan, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bellevue Obgyn LLC's NPI active?
- Yes — Bellevue Obgyn LLC's NPI (1104124247) is active in the NPPES registry as of the last update on 2012-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.