Individual provider Active NPI

Raina Vachhani Voss, M.D., M.P.H.

  • Pediatric Adolescent Medicine Physician
  • Seattle, WA
National Provider Identifier
1578829644
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
036147456 Issued in IL
Practice address
4540 Sand Point Way NE
Building 1, Suite 200
Seattle, WA 98105-3941
Phone
(206) 987-2028
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60539701 WA
Pediatric Adolescent Medicine Physician 2080A0000X 036.147456 IL
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Adolescent Medicine Physician 2080A0000X 036147456 IL Primary

Addresses

Primary practice location

4540 Sand Point Way NE
Building 1, Suite 200
Seattle, WA 98105-3941

Mailing address

1440 N Dayton St
Chicago, IL 60642-2644
Phone (312) 227-4000

Other names 1

  • Raina Vachhani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181109002322 IL Practitioner - Pediatric MedicinePractitioner - Other (Physician) 0749593291 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60539701WAMDPediatrics Physician
036.147456ILMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center, Inc Current Accepting new patients
Erie Family Health Center Inc CurrentSince Nov 12, 2018 Accepting new patients
Erie Family Health Center Inc. CurrentSince Nov 12, 2018 Accepting new patients
Lurie Children'S Medical Group Inc Pediatrics CurrentSince Oct 1, 2018 Accepting new patients

Locations

Claims Remittance
Carol Stream, IL 60122

4867 N Broadway St
Chicago, IL 60640
Phone (312) 227-2610

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

1440 N Dayton St
Chicago, IL 60642
Phone (312) 227-6800

1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

2418 W Division St
Chicago, IL 60622
Phone (312) 432-2621

737 N Michigan Ave
Ste 2040
Chicago, IL 60611

1504 S Albany Ave
Chicago, IL 60623

Interoperability endpoints

  • Direct secure messaging: rvoss368276@direct.ochin.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1578829644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N DAYTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422644",
            "telephone_number": "312-227-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SAND POINT WAY NE",
            "address_2": "BUILDING 1, SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053941",
            "telephone_number": "206-987-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS",
        "first_name": "RAINA",
        "middle_name": "VACHHANI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60539701",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": "036.147456",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": "036147456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAINA",
            "last_name": "VACHHANI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.