Individual provider Active NPI

Ravi Surendra Singh, MD

  • Family Medicine Physician
  • Covington, WA
National Provider Identifier
1699757112
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00040732 Issued in WA
Practice address
16850 SE 272ND St
Ste 210
Covington, WA 98042-4931
Phone
(253) 395-2006
Fax
(253) 395-1977
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00040732 WA Primary

Addresses

Primary practice location

16850 SE 272ND St
Ste 210
Covington, WA 98042-4931

Mailing address

PO Box 34876
Seattle, WA 98124-1876
Phone (425) 656-5412

Other practice location 1

2205 Broadway
Everett, WA 98201-2321
Phone (888) 227-3312

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsingh1621726@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
I20031118001005 WA Practitioner - Family Practice 2365356771 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

21600 Hwy 99
Suite 240
Edmonds, WA 98026-5139
Phone (425) 673-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00040732WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Family Medicine CurrentSince Mar 2, 2021 Accepting new patients
Swedish Health Services CurrentSince Mar 2, 2021 Accepting new patients
Providence Health & Services - Washington Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Valley Medical Group-Renton Family Medicine CurrentSince May 15, 2010 Accepting new patients
Providence Health & Services- Washington CurrentSince Oct 1, 2021 Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Bourget Health Services Inc Past Accepting new patients
King County Public Hospital District No. 2 Past Accepting new patients

Locations

16850 SE 272nd St
Covington, WA 98042
Phone (253) 395-1960

16850 SE 272nd St
Ste 210
Covington, WA 98042
Phone (253) 395-1972

27500 168th Pl SE
Covington, WA 98042
Phone (425) 690-3430

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

2205 Broadway
Everett, WA 98201
Phone (425) 252-5213

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

24920 104th Ave SE
Kent, WA 98030
Phone (253) 395-1985

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

7203 129th Ave SE
#100
Newcastle, WA 98056
Phone (425) 656-5406

4033 Talbot Rd S
Ste 570
Renton, WA 98055
Phone (425) 656-5400

3915 Talbot Rd S
Ste 401
Renton, WA 98055
Phone (425) 656-4224

14410 SE Petrovitsky Rd
Ste 104
Renton, WA 98058
Phone (425) 656-4242

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Organizations & group practices 8

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 5

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1699757112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34876",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241876",
            "telephone_number": "425-656-5412",
            "fax_number": "425-656-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 SE 272ND ST",
            "address_2": "STE 210",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424931",
            "telephone_number": "253-395-2006",
            "fax_number": "253-395-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Broadway",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982012321",
            "country_code": "US",
            "telephone_number": "888-227-3312",
            "fax_number": "714-515-8362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "RAVI",
        "middle_name": "SURENDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00040732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsingh1621726@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2205 Broadway",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982012321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

Verify at the official NPI Registry.