Individual provider Active NPI

Neeta Bhogal, MD

  • Family Medicine Physician
  • Everett, WA
National Provider Identifier
1154473833
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00048536 Issued in WA
Practice address
2930 Maple St
Everett, WA 98201-3832
Phone
(425) 261-1500
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 18

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 18

Hospital & facility affiliations 4

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of Washington 1,519 clinicians
Washington Pac Services PC 43 clinicians
Wa Pacs 2 PC 26 clinicians
CS Pacs 3 Northwest LLC 26 clinicians

Practice addresses (Care Compare)

200 15TH Ave E
Seattle, WA 98112-5260
Phone (206) 326-3000

21008 76TH Ave W
Edmonds, WA 98026-7104
Phone (425) 778-0107

Hospital & facility affiliations

  • Providence at Home With Compassus Hospice Care, Puget Sound Hospice, Tukwila, WA, CCN 501515
  • Alderwood Post Acute & Rehabilitation Nursing home, Lynnwood, WA, CCN 505319
  • Kin on Health Care Center Nursing home, Seattle, WA, CCN 505453
  • Pine Ridge Post Acute Nursing home, Edmonds, WA, CCN 505527
  • Marianwood Health and Rehabilitation Nursing home, Issaquah, WA, CCN 505418

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
I20091007000034 WA Practitioner - Family Practice 0244376127 Reassigns benefits to 5 organizations

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pine Ridge Post AcuteEdmonds, WA, CCN 505527 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 13, 2025
Jan 22, 2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Dec 10, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 4, 2014 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 4, 2014 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Washington Pac Services PC CurrentSince Dec 10, 2024 Accepting new patients
Wa Pacs 2 PC CurrentSince Dec 10, 2024 Accepting new patients
Lynnwood SNF Operations LLC Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Pine Ridge SNF Healthcare LLC Past Accepting new patients
Bethany of the Northwest Past Accepting new patients
Kin on Health Care Center Past Accepting new patients
Care Center Edmonds Inc Past Accepting new patients

Locations

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

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

2930 Maple St
Everett, WA 98201
Phone (425) 261-1500

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

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

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: nbhogal7945@ghc.direct-ci.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00048536 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

2930 Maple St
Everett, WA 98201-3832

Mailing address

2930 Maple St
Everett, WA 98201-3832
Phone (425) 261-1500

Other practice location 1

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 258-3900

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2021.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1154473833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 MAPLE ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013832",
            "telephone_number": "425-261-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 MAPLE ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013832",
            "telephone_number": "425-261-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3927 Rucker Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014833",
            "country_code": "US",
            "telephone_number": "425-258-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHOGAL",
        "first_name": "NEETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00048536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2930 Maple St",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982013832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.