Active NPI
Rajnish Mishra, MD
- Gastroenterology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD60234885
- Practice address
- 1221 Madison St
Ste 1220
Seattle, WA 98104-3588 - Phone
- (206) 215-4250
- NPI assigned
- May 17, 2007
- Last updated
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116017320 | VA | |
| Internal Medicine Physician | 207R00000X | 4301096338 | MI | |
| Gastroenterology Physician | 207RG0100X | 4301096338 | MI | |
| Gastroenterology Physician | 207RG0100X | MD60234885 | WA | Primary |
Addresses
Primary practice location
1221 Madison St
Ste 1220
Seattle, WA 98104-3588
Mailing address
1221 Madison St
Ste 1220
Seattle, WA 98104-3588
Phone (206) 215-4250
Other practice location 1
751 NE Blakely Dr Ste 3020
Issaquah, WA 98029-6201
Phone (425) 313-5345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD60234885 | Other | WA | WA STATE LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmishra1042546@wm.providencedirect.org | Direct | |
| Direct Messaging Address | rmishra1042546@wm.providencedirect.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12333 NE 130TH LN
Suite 400
Kirkland, WA 98034-7467
Phone (425) 899-6414
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 56 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 366 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096338 | MI | MD | Internal Medicine Physician |
| 0116017320 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Internal Medicine | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Past | Accepting new patients |
Locations
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
12333 NE 130th Ln
Ste 400
Kirkland, WA 98034
Phone (425) 216-4220
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Interoperability endpoints
- rmishra1042546@wm.providencedirect.org
Organizations & group practices 4
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.
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
dba EvergreenHealth Medical Group Pro Fees
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
dba EvergreenHealth Medical Group Snohomish County
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba EvergreenHealth Medical Center
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
dba EvergreenHealth Monroe
- General Acute Care Hospital
- Monroe, WA
- NPI 1013074061
-
dba EvergreenHealth Monroe Recovery Center
- Substance Use Disorder Rehabilitation Hospital Unit
- Monroe, WA
- NPI 1770614273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1538376777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 MADISON ST",
"address_2": "STE 1220",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043588",
"telephone_number": "206-215-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 MADISON ST",
"address_2": "STE 1220",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043588",
"telephone_number": "206-215-4250"
}
],
"practiceLocations": [
{
"address_1": "751 NE Blakely Dr Ste 3020",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980296201",
"country_code": "US",
"telephone_number": "425-313-5345",
"fax_number": "425-313-7176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHRA",
"first_name": "RAJNISH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116017320",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301096338",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301096338",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD60234885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE",
"identifier": "MD60234885",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmishra1042546@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1221 Madison St",
"address_2": "Ste 1220",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981043588",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmishra1042546@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "751 NE Blakely Dr Ste 3020",
"city": "Issaquah",
"state": "WA",
"country_code": "US",
"postal_code": "980296201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.