Individual provider Active NPI

Jacintha L Raj, MD

  • Obstetrics & Gynecology Physician
  • Yakima, WA
National Provider Identifier
1942394275
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00044674 Issued in WA
Practice address
1020 S 40TH Ave
Suite C
Yakima, WA 98908-3800
Phone
(509) 966-3969
Fax
(509) 966-3979
NPI assigned
Oct 3, 2006
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD00044674 WA Primary

Addresses

Primary practice location

1020 S 40TH Ave
Suite C
Yakima, WA 98908-3800

Mailing address

1020 S 40TH Ave
Suite C
Yakima, WA 98908-3800
Phone (509) 966-3969

Other practice location 1

400 S 43rd St
Renton, WA 98055-5714
Phone (425) 228-3450

Other practice location 2

945 Goethals Dr Ste 200
Richland, WA 99352-3552
Phone (509) 942-2555

Other identifiers 3

IdentifierTypeStateIssuer
9392RAOtherWAREGENCE
8425530MedicaidWA
0237844OtherWALABOR AND INDUSTRIES

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
I20050817000398 WA Practitioner - Obstetrics/Gynecology 2668402827 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 S 40TH Ave
Suite C
Yakima, WA 98908-3800
Phone (509) 966-3969

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00044674WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Oct 28, 2023 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 6, 2018 Accepting new patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Mar 1, 2022 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 6, 2018 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Oct 28, 2023 Accepting new patients
King County Public Hospital District No 2 CurrentSince Mar 1, 2022 Accepting new patients
Valley Medical Group-Renton CurrentSince Jun 1, 2022 Accepting new patients
Kadlec Regional Medical Center CurrentSince Oct 1, 2023 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Feb 1, 2022 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Yakima Valley Memorial Hospital Association Past Accepting new patients
Kittitas County Public Hospital Dist 1 Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12303 NE 130th Ln
Ste 450
Kirkland, WA 98034
Phone (425) 899-5000

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

945 Goethals Dr
Ste 200
Richland, WA 99352
Phone (509) 942-2555

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/
  • Direct secure messaging: jraj@ywhp-wa.direct.office.nextgen.com

Organizations & group practices 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1942394275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S 40TH AVE",
            "address_2": "SUITE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083800",
            "telephone_number": "509-966-3969",
            "fax_number": "509-966-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S 40TH AVE",
            "address_2": "SUITE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083800",
            "telephone_number": "509-966-3969",
            "fax_number": "509-966-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S 43rd St",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555714",
            "country_code": "US",
            "telephone_number": "425-228-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 Goethals Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523552",
            "country_code": "US",
            "telephone_number": "509-942-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJ",
        "first_name": "JACINTHA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00044674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "9392RA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8425530",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0237844",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.