Active NPI
Archana Chivukula, MD
- Sports Medicine (Family Medicine) Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- MD61041205
- Practice address
- 4455 148TH Ave NE
Bellevue, WA 98007-3120 - Phone
- (206) 386-2600
- NPI assigned
- Sep 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61041205 | WA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD61041205 | WA | Primary |
Addresses
Primary practice location
4455 148TH Ave NE
Bellevue, WA 98007-3120
Mailing address
4455 148TH Ave NE
Bellevue, WA 98007-3120
Phone (206) 386-2600
Other practice location 1
601 Broadway Fl 7
Seattle, WA 98122-5330
Phone (206) 386-2600
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200706003188 | WA | Practitioner - Family Practice | 0042633216 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Opa Ortho PLLC
Practice addresses (Care Compare)
4455 148TH Ave NE
Bellevue, WA 98007-3120
Phone (206) 386-2600
Hospital & facility affiliations
- Peacehealth St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opa Ortho PLLC | Sports Medicine | Current | Accepting new patients |
| Tri Cities Community Health | Past | Accepting new patients |
Locations
4455 148th Ave NE
Ste B1
Bellevue, WA 98007
4455 148th Ave NE
Bellevue, WA 98007
Phone (425) 861-6255
20700 Bond Rd NE
Ste 103
Poulsbo, WA 98370
Phone (206) 799-2132
900 Terry Ave
Ste 100
Seattle, WA 98104
Phone (206) 694-6665
601 Broadway
#700
Seattle, WA 98122
Phone (206) 622-2600
601 Broadway
Fl 7
Seattle, WA 98122
Phone (206) 518-6311
Interoperability endpoints
- archanan.chivukula.p1@direct.opa.nextgenshare.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1659995504
Hospital & facility affiliations 3
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": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1811445331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 148TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073120",
"telephone_number": "206-386-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 148TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073120",
"telephone_number": "206-386-2600"
}
],
"practiceLocations": [
{
"address_1": "601 Broadway Fl 7",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225330",
"country_code": "US",
"telephone_number": "206-386-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIVUKULA",
"first_name": "ARCHANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61041205",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "WA",
"license": "MD61041205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.