Individual provider Active NPI

Loka P Thangamathesvaran, MD

  • Ophthalmology Physician
  • Bellevue, WA
National Provider Identifier
1558824680
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD61536948 Issued in WA
Practice address
1750 112TH Ave NE Ste D050
Bellevue, WA 98004-3779
Phone
(206) 215-3850
Fax
(206) 215-3870
NPI assigned
Apr 6, 2019
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD61536948 WA Primary

Addresses

Primary practice location

1750 112TH Ave NE Ste D050
Bellevue, WA 98004-3779

Mailing address

22232 17TH Ave SE Ste 308
Bothell, WA 98021-7425
Phone (425) 296-3837

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
I20250627001979 WA Practitioner - Ophthalmology 4880058288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Northwest Retina PLLCGroup PAC ID 8820494073, 19 clinicians

Practice addresses (Care Compare)

1229 Madison St
Suite 620
Seattle, WA 98104-3304
Phone (206) 215-3850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Surgery Center LLC CurrentSince Aug 3, 2025 Accepting new patients
Pacific Northwest Retina PLLC CurrentSince Aug 11, 2025 Accepting new patients
Proliance Surgeons Inc P S Past Accepting new patients

Locations

1750 112th Ave NE
Ste D050
Bellevue, WA 98004
Phone (425) 296-3837

3105 Old Fairhaven Pkwy
Ste C
Bellingham, WA 98225

22232 17th Ave SE
Ste 308
Bothell, WA 98021

300 Fashion Way
Burlington, WA 98233

300 Fashion Way
Bldg D
Burlington, WA 98233

321 Ramsay Way
Ste 107
Kent, WA 98032

1229 Madison St
Ste 620
Seattle, WA 98104

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: loka.thangamathesvaranmd.p16@direct.pnwr.nextgenshare.com

Organizations & group practices 3

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 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": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1558824680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE STE 308",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217425",
            "telephone_number": "425-296-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE STE D050",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043779",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGAMATHESVARAN",
        "first_name": "LOKA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-06",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61536948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.