CCM SPECIALTY CARE LLC
CCM SPECIALTY CARE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1306636741, based in Bellevue, WA. The organization lists 15 taxonomy classifications, with Pediatrics Physician recorded as primary.
Getting there
The practice address on file is 1940 116TH AVE NE STE 200B, Bellevue, WA 98004. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5991212938
- Enrollment ID
- O20250725001385
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NUCC Health Care Provider Taxonomy, code 208000000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | — | — | primary |
| 2080S0012X | Pediatric Sleep Medicine Physician Sleep Medicine | — | — | |
| 2080B0002X | Pediatric Obesity Medicine Physician Obesity Medicine | — | — | |
| 2080P0201X | Pediatric Allergy/Immunology Physician Pediatric Allergy/Immunology | — | — | |
| 2080P0203X | Pediatric Critical Care Medicine Physician Pediatric Critical Care Medicine | — | — | |
| 2080P0214X | Pediatric Pulmonology Physician Pediatric Pulmonology | — | — | |
| 2080P0008X | Pediatric Neurodevelopmental Disabilities Physician Neurodevelopmental Disabilities | — | — | |
| 2080P0205X | Pediatric Endocrinology Physician Pediatric Endocrinology | — | — | |
| 2080P0216X | Pediatric Rheumatology Physician Pediatric Rheumatology | — | — | |
| 2080N0001X | Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine | — | — | |
| 2080P0206X | Pediatric Gastroenterology Physician Pediatric Gastroenterology | — | — | |
| 2080P1004X | Physician Nutrition Specialist (Pediatrics) Physician Nutrition Specialist | — | — | |
| 2080S0010X | Pediatric Sports Medicine Physician Sports Medicine | — | — | |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics | — | — | |
| 2080A0000X | Pediatric Adolescent Medicine Physician Adolescent Medicine | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1306636741 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 8, 2025 |
| Last updated | May 14, 2026 |
| Status | Active |
| Practice address |
1940 116TH AVE NE STE 200B Bellevue, WA 98004 (425) 276-1825 Fax (855) 785-8770 |
| Mailing address |
710 S 348TH ST STE B Federal Way, WA 98003 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 0 | 6 | 6 | 3 | 6 | 7 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 0 | 6 | 3 | 3 | 3 | 7 | 8 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.