NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Overlake Colon & Rectal Clinic, Pllc

Colon & Rectal Surgery Physician in Bellevue, WA · enumerated 2008 · authorized official Mitra Ehsan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063688273

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Overlake Colon & Rectal Clinic, Pllc
Practice address 1135 116th Ave Ne, Suite 190, Bellevue, WA, 98004
Phone (425) 646-7400
Fax (425) 646-7449
Enumeration date May 7, 2008
Last updated in NPPES Sep 4, 2019

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License MD00039612 (WA) Secondary
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians · License MD00039612 (WA) Primary

Authorized official

Name Mitra Ehsan
Title Owner
Phone (206) 669-7639

Other identifiers

Identifier Type State Issuer
0159746 Other WA L&I
1135EH Other WA REGENCE
2185705 Other WA UNITED HEALTH CARE
1115864 Medicaid WA -
5810380 Other WA AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Overlake Colon & Rectal Clinic, Pllc?
NPPES lists Mitra Ehsan (Owner) as the authorized official for this organization.
What is the NPI number for Overlake Colon & Rectal Clinic, Pllc?
The NPI for Overlake Colon & Rectal Clinic, Pllc is 1063688273, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-09-04.