Active NPI
Riddhi Gandhi Raghavan, PA-C
- Medical Physician Assistant
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 12040 NE 128TH St
Kirkland, WA 98034-3013 - Phone
- (425) 998-1623
- NPI assigned
- Aug 14, 2020
- Last updated
- May 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | WA | Primary |
Addresses
Primary practice location
12040 NE 128TH St
Kirkland, WA 98034-3013
Mailing address
12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 998-1623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12039 NE 128TH St
Kirkland, WA 98034-3029
12040 NE 128TH St
Kirkland, WA 98034-3013
12040 NE 128TH St Ms
Suite 55
Kirkland, WA 98034-3013
12710 Totem Lake Blvd NE
Kirkland, WA 98034-2907
Phone (425) 821-4040
14720 Main St NE
Suite 109
Duvall, WA 98019-8460
Phone (425) 788-4889
16916 140TH Ave NE
Woodinville, WA 98072-6957
18151 68TH Ave NE
Suite 100
Kenmore, WA 98028-2835
Phone (425) 485-6561
1909 214TH St SE
Suite 110
Bothell, WA 98021-4412
Phone (425) 488-4988
4220 132ND St SE
Suite 103
Mill Creek, WA 98012-8999
Phone (425) 225-1210
8980 161St Ave NE
Redmond, WA 98052-7554
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians, LLC | Physician Assistant | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients |
Locations
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
Interoperability endpoints
- rgandhi2302787@wm.providencedirect.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Physician Assistant
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
dba EvergreenHealth Medical Group Snohomish County
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
dba EvergreenHealth Medical Group King County
- Clinic/Center
- Redmond, WA
- NPI 1750612883
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba EvergreenHealth Medical Center
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1043821846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013",
"telephone_number": "425-998-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013",
"telephone_number": "425-998-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGHAVAN",
"first_name": "RIDDHI",
"middle_name": "GANDHI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.