Prime Health Clinic PLLC
NPI 1710306436 · Pediatric Gastroenterology Physician · Puyallup, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Health Clinic PLLC is a Pediatric Gastroenterology Physician organization in Puyallup, WA (NPI 1710306436).
Provider details
- NPI number
- 1710306436
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Abeer Alidlebi, General Manger(253) 740-0977
- License
- 60306063 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 1907 Cooks Hill RdCentralia, WA 98531-9073Phone: (253) 268-0720Fax: (253) 466-7072
- 5801 Soundview Dr Ste 156Gig Harbor, WA 98335-2215Phone: (253) 268-0720Fax: (253) 466-7072
- 1802 Yakima Ave Ste 202Tacoma, WA 98405-5304Phone: (253) 268-0720Fax: (253) 466-7072
Registry dates
- Enumerated
- 2014-04-09
- Last updated
- 2021-08-29
- Certified
- 2021-08-29
Frequently asked questions
- What is Prime Health Clinic PLLC's NPI number?
- Prime Health Clinic PLLC's National Provider Identifier (NPI) is 1710306436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Health Clinic PLLC?
- Prime Health Clinic PLLC is classified in the NPPES registry as Pediatric Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Health Clinic PLLC located?
- Prime Health Clinic PLLC's practice location on file with NPPES is 1004 E Main Ste D, Puyallup, WA 98372-3199.
- What is Prime Health Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Health Clinic PLLC is (253) 268-0720.
- Does Prime Health Clinic PLLC accept Medicare?
- Prime Health Clinic 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 Prime Health Clinic PLLC?
- The authorized official listed on Prime Health Clinic PLLC's NPPES record is Abeer Alidlebi, General Manger. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Health Clinic PLLC's NPI active?
- Yes — Prime Health Clinic PLLC's NPI (1710306436) is active in the NPPES registry as of the last update on 2021-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.