Individual provider Active NPI

Archana Chivukula, MD

  • Sports Medicine (Family Medicine) Physician
  • Bellevue, WA
National Provider Identifier
1811445331
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD61041205 Issued in WA
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

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200706003188 WA Practitioner - Family PracticePractitioner - Sports Medicine 0042633216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Opa Ortho PLLC 42 clinicians

Practice addresses (Care Compare)

4455 148TH Ave NE
Bellevue, WA 98007-3120
Phone (206) 386-2600

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Opa Ortho PLLC Sports Medicine CurrentSince Dec 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.