Individual provider Active NPI

Shivaraj Nagalli, M.D.

  • Hospitalist Physician
  • Everett, WA
National Provider Identifier
1073947818
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD61688963 Issued in WA
Practice address
3901 Hoyt Ave
Everett, WA 98201-4918
Phone
(425) 339-5453
NPI assigned
Aug 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 50125 AZ
Hospitalist Physician 208M00000X MD61688963 WA Primary

Addresses

Primary practice location

3901 Hoyt Ave
Everett, WA 98201-4918

Mailing address

PO Box 5127
Everett, WA 98206-5127

Other practice location 1

1000 1st St N
Alabaster, AL 35007-8703
Phone (205) 620-7004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200814000347 AL Practitioner - Internal Medicine 6103133608 Reassigns benefits to 3 organizations
I20250724002211 WA Practitioner - Hospitalist 6103133608 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 228-3450

Hospital & facility affiliations

  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Valley Medical Center Hospital, Renton, WA, CCN 500088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50125AZMDHospitalist Physician
MD61688963WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince Aug 25, 2025 Accepting new patients
Providence Health & Services- Washington CurrentSince Aug 25, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 25, 2025 Accepting new patients
Baptist Health Centers LLC CurrentSince Apr 8, 2020 Accepting new patients
Hospital Medicine Associates LLC Hospitalist CurrentSince Mar 6, 2024 Accepting new patients
The Polyclinic PLLC CurrentSince Aug 25, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Nov 29, 2021 Accepting new patients
The Polyclinic PLLC Hospitalist CurrentSince Aug 25, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 25, 2025 Accepting new patients
Baptist Health Centers, LLC CurrentSince Apr 8, 2020 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
BBH SBMC, LLC Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

1145 Broadway
Seattle, WA 98122

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1073947818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014918",
            "telephone_number": "425-339-5453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 1st St N",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078703",
            "country_code": "US",
            "telephone_number": "205-620-7004",
            "fax_number": "205-620-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGALLI",
        "first_name": "SHIVARAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "50125",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD61688963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.