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WORAWAN RATTANASAMPHAN MD
NPI 1073574471
Specialist in Bellevue, WA

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
1750 112TH AVE NE, SUITE A-101, BELLEVUE, WA 98004(425) 688-5234(425) 688-5756 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Dec 16, 2016 (2 updates tracked since 2016).

About Worawan Rattanasamphan Md NPPES

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

WORAWAN RATTANASAMPHAN MD (NPI 1073574471) is an individual specialist in Bellevue, Washington, licensed in Washington (MD00045055) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1073574471
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameWORAWAN RATTANASAMPHANCredential: MD
Location Address1750 112TH AVE NE, SUITE A-101Bellevue, WA 98004-3752
Mailing Address1750 112th Ave, Ne, Suite A-101Bellevue, WA 98008 · (425) 688-5234 · Fax (425) 688-5756
Phone(425) 688-5234
Fax(425) 688-5756
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 28, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1073574471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00045055
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1750 112TH AVE NE, Bellevue, WA 98004
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Other Identifiers 2

Other1073574471WA · Npi
OtherMD00045055WA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

Worawan Rattanasamphan Md 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 ID3779555842
PECOS Enrollment IDI20100630000196
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
983 services494 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
308 services308 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
274 services229 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
191 services146 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services74 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
43 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers42 claims124 services$5.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers28 claims52 services$0.92 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$37.70 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$14.08 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$2.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers54 claims54 services$63.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPORTS REACTION CENTER INC
Specialist
1750 112TH AVE NE, SUITE D-154
BELLEVUE, WA 98004
King County (425) 643-9778
TANUSHREE GANGADHAR YALAVATTI DPT
Physical Therapist
1750 112TH AVE NE
BELLEVUE, WA 98004
King County (425) 289-0381
CHARLES D BIRNBACH M.D.
Ophthalmology
1750 112TH AVE NE, SUITE D050
BELLEVUE, WA 98004
King County (206) 215-3850
JULIE TRAN DPT
Physical Therapist
1750 112TH AVE NE
BELLEVUE, WA 98004
King County (425) 289-0381
BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC
Internal Medicine (Geriatric Medicine)
1750 112TH AVE NE, SUITE A101 & A102
BELLEVUE, WA 98004
King County (425) 637-1022
LESLIE RENEE MERKLIN-BARBER RN
Registered Nurse
1750 112TH AVE NE, SUITE A101
BELLEVUE, WA 98004
King County (425) 688-5879
MONALI SHAH
Physical Therapist
1750 112TH AVE NE
BELLEVUE, WA 98004
King County (425) 289-0381
DR. ARASH MOGHADDAM M.D.
Psychiatry & Neurology (Psychiatry)
1750 112TH AVE NE, SUITE B102
BELLEVUE, WA 98004
King County (425) 688-5460

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 Worawan Rattanasamphan's NPI number?

The NPI number for Worawan Rattanasamphan is 1073574471. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Worawan Rattanasamphan located?

Worawan Rattanasamphan practices at 1750 112th Ave NE Suite A-101, Bellevue, WA 98004. The listed phone number is (425) 688-5234.

What is Worawan Rattanasamphan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Worawan Rattanasamphan enrolled in Medicare?

Yes. Worawan Rattanasamphan 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 Worawan Rattanasamphan accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Worawan Rattanasamphan 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 Worawan Rattanasamphan affiliated with any hospitals?

According to CMS data, Worawan Rattanasamphan is affiliated with Overlake Hospital Medical Center, Evergreenhealth Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Worawan Rattanasamphan was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.