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VIJAYTHA RATHNAM M.D.
NPI 1023305612
Obstetrics & Gynecology in Edmonds, WA

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
21616 76TH AVE W STE EDMONDS, EDMONDS, WA 98026(425) 640-4810(425) 640-4884 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2021, Oct 28, 2016, May 17, 2016 (3 updates tracked since 2016).

About Vijaytha Rathnam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIJAYTHA RATHNAM M.D. (NPI 1023305612) is an individual obstetrics & gynecology provider in Edmonds, Washington, licensed in New Hampshire (LT-3654) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023305612
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameVIJAYTHA RATHNAMCredential: M.D.
Location Address21616 76TH AVE W STE EDMONDSEdmonds, WA 98026-7512
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(425) 640-4810
Fax(425) 640-4884
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 1, 2011
Last NPPES UpdateMarch 1, 20213 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
✔ NPI 1023305612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NH · LT-3654
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
21616 76TH AVE W STE EDMONDS, Edmonds, WA 98026
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vijaytha Rathnam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567753296
PECOS Enrollment IDI20160627002550
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vijaytha Rathnam's NPI number?

The NPI number for Vijaytha Rathnam is 1023305612. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Vijaytha Rathnam located?

Vijaytha Rathnam practices at 21616 76th Ave W Ste Edmonds, Edmonds, WA 98026. The listed phone number is (425) 640-4810.

What is Vijaytha Rathnam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Vijaytha Rathnam enrolled in Medicare?

Yes. Vijaytha Rathnam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vijaytha Rathnam accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Vijaytha Rathnam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vijaytha Rathnam affiliated with any hospitals?

According to CMS data, Vijaytha Rathnam is affiliated with Swedish Edmonds Hospital.

When was this NPI record last updated?

The NPPES record for Vijaytha Rathnam was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.