Individual provider Active NPI

Ruben Krishnananthan, MD

  • Nuclear Medicine Physician
  • Lynnwood, WA
National Provider Identifier
1891807863
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
MD00045187 Issued in WA
Practice address
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4746
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Aug 31, 2006
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X MD00045187 WA Primary
Diagnostic Radiology Physician 2085R0202X MD00045187 WA

Addresses

Primary practice location

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4746

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, NJ, CA, MI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20070517000694 WA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 0749387272 Reassigns benefits to 19 organizations
I20160909000458 ID Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 0749387272 Reassigns benefits to 1 organization
I20221202000281 NJ Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 0749387272 Reassigns benefits to 3 organizations
I20241122001931 CA Practitioner - Diagnostic Radiology 0749387272 Reassigns benefits to 3 organizations
I20251112001920 MI Practitioner - Diagnostic Radiology 0749387272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

1600 E Jefferson St
Suite 300
Seattle, WA 98122-5645
Phone (206) 386-2677

180 River Dr
PH 102
Jersey City, NJ 07310-2248
Phone (425) 563-1500

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 640-4250

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

4744 41St Ave SW
Seattle, WA 98116-4566

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
County of Santa Clara CurrentSince Oct 30, 2024 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Swedish Health Services CurrentSince Oct 16, 2019 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince May 3, 2016 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 11, 2023 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Apr 18, 2022 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Sep 2, 2017 Accepting new patients
Msu Health Care Inc. Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Yakima Valley Memorial Physicians Current Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Apr 18, 2022 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Oct 30, 2024 Accepting new patients
Swedish Health Services CurrentSince Oct 16, 2019 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince May 1, 2016 Accepting new patients
County of Santa Clara Current Accepting new patients
Swedish Health Services CurrentSince May 5, 2016 Accepting new patients
County of Santa Clara CurrentSince Oct 30, 2024 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Wenatchee Valley Hospital CurrentSince Mar 1, 2016 Accepting new patients
Msu Health Care Inc. CurrentSince Nov 1, 2025 Accepting new patients
Swedish Health Services CurrentSince May 5, 2016 Accepting new patients
County of Santa Clara Current Accepting new patients
Msu Health Care Inc Current Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 15, 2024 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Apr 28, 2016 Accepting new patients
Swedish Health Services CurrentSince May 5, 2016 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 11, 2023 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Oct 30, 2024 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince May 1, 2016 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince May 3, 2015 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince May 3, 2016 Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients

Locations (25 of 58)

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

6580 Hembree Ln
Ste 270
Windsor, CA 95492
Phone (707) 838-2044

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

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

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

Organizations & group practices 39

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 39

Hospital & facility affiliations 6

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1891807863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364746",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNANANTHAN",
        "first_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "WA",
            "license": "MD00045187",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00045187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.