NPIMap

Individual provider Active NPI

Sujoy K Ghorai, MD

  • Gastroenterology Physician
  • Everett, WA
National Provider Identifier
1386680445
Registry record updated Jan 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD00041993 Issued in WA
Practice address
4225 Hoyt Ave
Suite a
Everett, WA 98203-2351
Phone
(425) 259-3122
NPI assigned
Jun 20, 2006
Last updated
Jan 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD00041993 WA Primary

Addresses

Primary practice location

4225 Hoyt Ave
Suite a
Everett, WA 98203-2351

Mailing address

4225 Hoyt Ave
Suite a
Everett, WA 98203-2351
Phone (425) 259-3122

Other identifiers 3

IdentifierTypeStateIssuer
0161778OtherWALABOR AND INDUSTRY
MD00041993OtherWASTATE LICENSE NUMBER
8312241MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000091 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 3870687445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3822 Colby Ave
Suite 100
Everett, WA 98201-4913
Phone (425) 263-8980

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy84
Upper gastrointestinal (GI) endoscopy for acid reflux105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00041993WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Mar 14, 2017 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Mar 14, 2017 Accepting new patients
Public Hospital District No 1 of Snohomish County CurrentSince Jan 1, 2009 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Public Hospital District 1 of Snohomish County CurrentSince Jan 1, 2009 Accepting new patients
Western Washington Medical Group, Inc PS Gastroenterology Past Accepting new patients

Locations

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

3822 Colby Ave
#100
Everett, WA 98201
Phone (425) 259-4041

1728 W Marine View Dr
Ste 111
Everett, WA 98201

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

Interoperability endpoints

  • Direct secure messaging: sghorai727153@direct.multicare.org

Organizations & group practices 7

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

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200182400000",
    "number": "1386680445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 HOYT AVE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032351",
            "telephone_number": "425-259-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 HOYT AVE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032351",
            "telephone_number": "425-259-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHORAI",
        "first_name": "SUJOY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00041993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "0161778",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD00041993",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8312241",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.