Individual provider Active NPI

Roshan Swaminathan Panchanathan, MD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1164086211
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD61158187 Issued in WA
Practice address
901 Boren Ave Ste 1520
Seattle, WA 98104-3560
Phone
(206) 292-0700
Fax
(206) 709-0600
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD61158187 WA Primary

Addresses

Primary practice location

901 Boren Ave Ste 1520
Seattle, WA 98104-3560

Mailing address

901 Boren Ave Ste 1520
Seattle, WA 98104-3560
Phone (206) 292-0700

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
I20240311000171 WA Practitioner - Internal Medicine 6709110414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arizona College of Medicine - Phoenix, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel S Frank MD PLLCGroup PAC ID 8527959840, 6 clinicians

Practice addresses (Care Compare)

901 Boren Ave
Suite 1520
Seattle, WA 98104-3560
Phone (206) 292-0700

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel S Frank MD PLLC Internal Medicine CurrentSince Jan 27, 2024 Accepting new patients

Locations

901 Boren Ave
Ste 1520
Seattle, WA 98104
Phone (206) 280-6736

Organizations & group practices 1

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 2

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1164086211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 1520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043560",
            "telephone_number": "206-292-0700",
            "fax_number": "206-709-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 1520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043560",
            "telephone_number": "206-292-0700",
            "fax_number": "206-709-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHANATHAN",
        "first_name": "ROSHAN",
        "middle_name": "SWAMINATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61158187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.