Active NPI
Nitin Venugopal, MD
- Diagnostic Radiology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD61573890
- Practice address
- 4245 Roosevelt Way NE
Seattle, WA 98105-6008 - Phone
- (206) 520-5000
- NPI assigned
- Mar 26, 2020
- Last updated
- Mar 4, 2026
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036178610 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 2026-01022 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | MD61573890 | WA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 35.155120 | OH |
Addresses
Primary practice location
4245 Roosevelt Way NE
Seattle, WA 98105-6008
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
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
- Diagnostic Radiology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1455 NW Leary Way
Suite 250
Seattle, WA 98107-5138
Phone (206) 789-7777
1550 N 115TH St
Seattle, WA 98133-8401
Phone (206) 364-0500
1570 N 115TH St
Seattle, WA 98133-8401
Phone (206) 306-2800
1701 Columbia Rd
Seattle, WA 98195-0001
Phone (206) 598-3100
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
23213 Pacific Hwy S
Kent, WA 98032-2721
Phone (425) 485-4100
325 9TH Ave
Seattle, WA 98104-2420
Phone (206) 731-3000
4245 Roosevelt Way NE
Seattle, WA 98105-6008
Phone (206) 598-7954
4915 25TH Ave NE 300
Uwnc Ravenna Clinic
Seattle, WA 98105-5668
Phone (206) 525-7777
620 Kirkland Way
Suite 206
Kirkland, WA 98033-6021
Phone (425) 845-5500
728 Edmonds Way
Rosewood Courte Memory Care
Edmonds, WA 98020-5126
Phone (425) 673-2875
908 Jefferson St
Seattle, WA 98104-2433
Phone (206) 744-2020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036178610 | IL | MD | Diagnostic Radiology Physician |
| 2026-01022 | NC | MD | Diagnostic Radiology Physician |
| 35.155120 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Central Illinois Radiological Associates, LTD. | Diagnostic Radiology | Current | Accepting new patients |
Locations
5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
1959 NE Pacific St
#357115
Seattle, WA 98195
Phone (206) 598-3395
4245 Roosevelt Way NE
Seattle, WA 98105
Phone (206) 598-4055
Organizations & group practices 5
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 University of Washington Physicians
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Diagnostic Radiology
-
dba Central Illinois Radiological Associates
- Diagnostic Radiology Physician
- Peoria, IL
- NPI 1538192828
WA
-
dba BRHC Radiology Practice
- Diagnostic Radiology Physician
- Morganton, NC
- NPI 1639244478
WA
-
dba SGMF Radiology
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1174997407
WA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
dba University of Washington Medical Center
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1699302638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 ROOSEVELT WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056008",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENUGOPAL",
"first_name": "NITIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036178610",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2026-01022",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61573890",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.155120",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 4, 2026; 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.