Ideal Telemedicine Services, LLC
NPI 1346754868ActiveOrganization· Clinic/Center· Renton, WA
Clinic/Center in Renton, Washington, registered in NPPES in November 2017. The authorized official on file is Brian Jefferson Dawson, Cmo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1346754868 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2017 |
| Last updated in NPPES | Apr 16, 2025 |
| Certified by provider | Apr 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | WA |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK); Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (ND); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI); Part B Supplier - Clinic/Group Practice (WV) |
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