Individual provider Active NPI

Raaj K Ruparel, MD

  • Surgery Physician
  • Davenport, WA
National Provider Identifier
1174819593
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60992584 Issued in WA
Practice address
10 Nicholls St
Davenport, WA 99122-9729
Phone
(509) 725-6560
Fax
(509) 725-1509
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60992584 WA Primary

Addresses

Primary practice location

10 Nicholls St
Davenport, WA 99122-9729

Mailing address

37928 Jane LN E
Davenport, WA 99122-6013
Phone (781) 775-3851

Other practice location 1

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753

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
I20191219003153 WA Practitioner - General Surgery 1658590856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Hospital District 3Group PAC ID 3971591199, shared by 5 NPIs, 21 clinicians

Practice addresses (Care Compare)

10 Nicholls St
Davenport, WA 99122-9729

10 Nicholls St
Davenport, WA 99122-9730
Phone (509) 725-7501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60992584WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Hospital District 3 Current Accepting new patients
Lincoln County Hospital District 3 Surgery CurrentSince Nov 1, 2019 Accepting new patients
Lincoln County Hospital District #3 CurrentSince Nov 1, 2019 Accepting new patients
Lincoln County Hospital District #3 CurrentSince Nov 1, 2019 Accepting new patients
Lincoln County Public Hospital District 1 Past Accepting new patients
Lincoln County Hospital District 3 Past Accepting new patients

Locations

100 3rd St
Ste 1
Davenport, WA 99122
Phone (509) 725-7501

10 Nicholls St
Davenport, WA 99122
Phone (509) 725-7101

Interoperability endpoints

  • Direct secure messaging: rruparel1151586@wm.providencedirect.org

Organizations & group practices 6

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1174819593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37928 JANE LN E",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991226013",
            "telephone_number": "781-775-3851",
            "fax_number": "509-725-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NICHOLLS ST",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991229729",
            "telephone_number": "509-725-6560",
            "fax_number": "509-725-1509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Fortuyn Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Coulee",
            "state": "WA",
            "postal_code": "991338718",
            "country_code": "US",
            "telephone_number": "509-633-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPAREL",
        "first_name": "RAAJ",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60992584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, WA

Sources for this page

Verify at the official NPI Registry.