Active NPI
Reena Anna Koshy, MD
- Family Medicine Physician
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00033199
- Practice address
- 4111 194TH St SW
Lynnwood, WA 98036-4604 - Phone
- (425) 789-3789
- NPI assigned
- Feb 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00033199 | WA | Primary |
Addresses
Primary practice location
4111 194TH St SW
Lynnwood, WA 98036-4604
Mailing address
8609 Evergreen Way
Everett, WA 98208-2619
Phone (425) 789-3745
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4111 194TH St SW
Lynnwood, WA 98036-4604
Phone (425) 835-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| King County Finance | Current | Accepting new patients | |
| King County Finance | Current | Accepting new patients | |
| Fremont Family Practice LLC | Family Medicine | Current | Accepting new patients |
| Vera Whole Health Wa PC | Past | Accepting new patients |
Locations
125 16th Ave E
Seattle, WA 98112
Phone (206) 326-3530
2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755
4464 Fremont Ave N
Ste 103
Seattle, WA 98103
Phone (206) 267-7300
401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
310 15th Ave E
Seattle, WA 98112
Phone (206) 326-3500
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- reena.koshy.1@32512.direct.athenahealth.com
Organizations & group practices 8
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)
- Everett, WA
- NPI 1730136367
-
- Family Medicine Physician
- Seattle, WA
- NPI 1871640581
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1306903604
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1518593904
-
- Primary Care Clinic/Center
- Everett, WA
- NPI 1023668407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1891963468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8609 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082619",
"telephone_number": "425-789-3745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 194TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364604",
"telephone_number": "425-789-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSHY",
"first_name": "REENA",
"middle_name": "ANNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00033199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.