Individual provider Active NPI

Anitha Raghunath, M.D.

  • Neurology Physician
  • Richland, WA
National Provider Identifier
1659686509
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD60381163 Issued in WA
Practice address
1100 Goethals Drive First Floor
Kadlec Neuroscience Center
Richland, WA 99352
Phone
(509) 946-7931
Fax
(509) 946-7223
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ML60168413 WA
Neurology Physician 2084N0400X MD60381163 WA Primary

Addresses

Primary practice location

1100 Goethals Drive First Floor
Kadlec Neuroscience Center
Richland, WA 99352

Mailing address

3900 S Zintel Way
Kennewick, WA 99338
Phone (509) 942-3627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address araghunath573452@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000118 WA Practitioner - Neurology 9739320763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1100 Goethals Dr
Suite B
Richland, WA 99352-3301
Phone (509) 942-3080

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
  • Lourdes Medical Center Hospital, Pasco, WA, CCN 501337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML60168413WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Sep 2, 2013 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Kadlec Regional Medical Center CurrentSince Sep 2, 2013 Accepting new patients
Providence Health & Services - Washington CurrentSince Feb 1, 2016 Accepting new patients
Providence Health & Services - Washington CurrentSince Feb 1, 2016 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

3900 S Zintel Way
Kennewick, WA 99337
Phone (509) 942-3125

1100 Goethals Dr
Ste B
Richland, WA 99352
Phone (509) 942-3062

550 Gage Blvd
Ste 101
Richland, WA 99352

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

1100 Goethals Dr
Fl First
Richland, WA 99352
Phone (509) 942-3080

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

301 W Poplar St
Ste 50
Walla Walla, WA 99362
Phone (509) 522-5765

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

Interoperability endpoints

  • Direct secure messaging: araghunath573452@wm.providencedirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1659686509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S ZINTEL WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-942-3627",
            "fax_number": "509-942-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GOETHALS DRIVE FIRST FLOOR",
            "address_2": "KADLEC NEUROSCIENCE CENTER",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-946-7931",
            "fax_number": "509-946-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHUNATH",
        "first_name": "ANITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "ML60168413",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60381163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "araghunath573452@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Goethals Drive First Floor",
            "address_2": "Kadlec Neuroscience Center",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.