Individual provider Active NPI

Ritawari Mohan Sharangpani, MD

  • Psychiatry Physician
  • Olympia, WA
National Provider Identifier
1154473015
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD000042695 Issued in WA
Practice address
2617 12TH CT SW Ste B6
Olympia, WA 98502-1023
Phone
(360) 705-3690
Fax
(360) 352-7881
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD000042695 WA Primary

Addresses

Primary practice location

2617 12TH CT SW Ste B6
Olympia, WA 98502-1023

Mailing address

PO Box 11009
Olympia, WA 98508-1009
Phone (360) 352-2037

Other practice location 1

600 Broadway St
Longview, WA 98632-3256
Phone (360) 414-2236

Other practice location 2

3400 Main St
Vancouver, WA 98663-2223
Phone (360) 696-5044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsharangpani1012605@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000253 WA Practitioner - Psychiatry 8921069600 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 5890689293, 188 clinicians

Practice addresses (Care Compare)

600 Broadway St
Longview, WA 98632-3256
Phone (360) 414-2200

Hospital & facility affiliations

  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD000042695WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Psychiatry CurrentSince Nov 2, 2022 Accepting new patients
Peacehealth CurrentSince Nov 2, 2022 Accepting new patients
Providence Health & Services Washington CurrentSince Feb 1, 2019 Accepting new patients
Peacehealth CurrentSince Aug 18, 2022 Accepting new patients
Providence Health & Services Washington Current Accepting new patients
Providence Health & Services Washington CurrentSince Feb 1, 2019 Accepting new patients
Peacehealth CurrentSince Feb 14, 2022 Accepting new patients
Peacehealth Past Accepting new patients

Locations

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

600 Broadway St
Longview, WA 98632
Phone (360) 414-2236

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

3400 Main St
Vancouver, WA 98663
Phone (360) 696-5016

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1154473015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11009",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081009",
            "telephone_number": "360-352-2037",
            "fax_number": "360-352-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 12TH CT SW STE B6",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021023",
            "telephone_number": "360-705-3690",
            "fax_number": "360-352-7881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323256",
            "country_code": "US",
            "telephone_number": "360-414-2236",
            "fax_number": "360-414-2024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Main St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632223",
            "country_code": "US",
            "telephone_number": "360-696-5044",
            "fax_number": "360-696-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARANGPANI",
        "first_name": "RITAWARI",
        "middle_name": "MOHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD000042695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsharangpani1012605@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "413 Lilly Rd NE",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.