Rajni K Jutla, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD00047987 Issued in WA

Practice address

21701 76TH Ave W
Ste 203
Edmonds, WA 98026-7536

Phone

(425) 744-2300

Fax

(425) 744-2310

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Rajninder Kaur Jutla Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lake Washington Private Medicine Inc

  • Pain Medicine Physician
  • Kirkland, WA
  • NPI 1427109271
  NPD (past)
• NWH Anesthesia Support

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1306018973
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1467564484",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "6900 E GREENLAKE WAY N",
            "address_2": "STE J",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155480",
            "telephone_number": "206-957-7246",
            "fax_number": "206-957-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W",
            "address_2": "STE 203",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "425-744-2300",
            "fax_number": "425-744-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUTLA",
        "first_name": "RAJNI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD27622",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00047987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJNINDER",
            "last_name": "JUTLA",
            "middle_name": "KAUR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kirsten Jung-Stenwall
• Soyoung Jung
• Byron Jenaro Malilay Junio, DMD
• Laura Louise Juozapaitis
• Thomas J Jurich, M.D.
• Jennifer Stevenson Jutte, MPH, PHD
• Diana Jyoti, RN, MS, CLC
• K'S Optical LLC
• K&K Industries LLC Dba the Workshop
• Kaiser Health Solutions PS

• Pain Medicine (Anesthesiology) Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Pain Medicine (Anesthesiology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.