Individual provider Active NPI

Harika Lakshmi Polisetty, MBBS

  • Family Medicine Physician
  • Des Moines, WA
National Provider Identifier
1851977227
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD70099462 Issued in WA
Practice address
26401 Pacific Hwy S Ste 101
Des Moines, WA 98198-9247
Phone
(206) 870-3590
Fax
(206) 824-1670
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 MD70099462 WA Primary
Family Medicine Physician 207Q00000X E-18686 AR

Addresses

Primary practice location

26401 Pacific Hwy S Ste 101
Des Moines, WA 98198-9247

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

1233 W Poplar St
Rogers, AR 72756-4245
Phone (479) 636-9235

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hpolisetty29713@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250117001497 AR Practitioner - Family Practice 7618379108 Reassigns benefits to 1 organization
I20260522002833 WA Practitioner - Family Practice 7618379108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, shared by 27 NPIs, 67 clinicians

Practice addresses (Care Compare)

1233 W Poplar St
Rogers, AR 72756-4245
Phone (479) 636-9235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-18686ARMDFamily Medicine Physician
MD70099462WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc CurrentSince Feb 1, 2025 Accepting new patients
St Francis House Nwa, Inc Current Accepting new patients
St Francis House Nwa, Inc CurrentSince Feb 1, 2025 Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients

Locations

1233 W Poplar St
Rogers, AR 72756
Phone (479) 636-9235

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1851977227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 PACIFIC HWY S STE 101",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989247",
            "telephone_number": "206-870-3590",
            "fax_number": "206-824-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 W Poplar St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727564245",
            "country_code": "US",
            "telephone_number": "479-636-9235",
            "fax_number": "479-631-0374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLISETTY",
        "first_name": "HARIKA",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD70099462",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-18686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hpolisetty29713@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "26401 Pacific Hwy S Ste 101",
            "city": "Des Moines",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981989247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

Verify at the official NPI Registry.