Radha Agrawal, MD
Individual provider Active NPI Pulmonary Disease Physician · Bellevue, WA
NPI 1881629798 · NPPES record last updated Mar 9, 2012
Key facts
- NPI
- 1881629798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 60198936 (WA)
- Practice address
- 1135 116TH Ave NE
Suite 600
Bellevue, WA 98004-4623 - Phone
- (425) 454-2671
- Fax
- (425) 990-5260
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- George Washington University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Overlake Medical Clinics LLC
Practice addresses (Care Compare)
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5072
1231 116TH Ave NE
Bellevue, WA 98004-3804
1740 NW Maple St
Issaquah, WA 98027-8127
1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460
Hospital & facility affiliations
- Overlake Hospital Medical Center & Clinics
- Evergreenhealth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110714000500 | WA | Practitioner - Pulmonary Disease |
0244234128 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60198936 | WA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Current |
Accepting new patients | |
| Overlake Medical Clinics LLC | Current |
Accepting new patients | |
| Overlake Internal Medicine Laboratory | Past |
Accepting new patients | |
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients | |
| VHS of Illinois Inc | Past | Accepting new patients | |
| Overlake Internal Medicine Associates Inc PS | Past | Accepting new patients | |
| Macneal Physicians Group LLC | Past | Accepting new patients |
Locations
1135 116th Ave NE
Ste 600
Bellevue, WA 98004
Phone (425) 454-2656
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
1407 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 467-0150
1135 116th Ave NE
Ste 60
Bellevue, WA 98004
Phone (425) 467-0150
1231 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 289-3100
6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 60198936 | WA | Yes |
Addresses
Primary practice location
1135 116TH Ave NE
Suite 600
Bellevue, WA 98004-4623
Mailing address
1135 116TH Ave NE
Suite 600
Bellevue, WA 98004-4623
Phone (425) 454-2671
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-113005 | Other | IL | STATE LICENSE |
| 036113005 | Medicaid | IL |
Other providers in Bellevue, WA
- Gaurav Aggarwal
- Santosh A Agnani
- Gabrielle Agnesse
- Arnold Agraviador
- Niharika Agrawal
- Shelley Agricola
- Benjamin Ricardo Aguila
- Elizabeth Yamileth Aguilar Donis
- Mariana Aguilar Hernandez
- Briana Aguirre
All providers in Bellevue, WA · Pulmonary Disease Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.