DR. STEPHEN JEBARAJ PAKKIANATHAN M.D.
NPI 1124227566
Obstetrics & Gynecology in Spokane, WA

Q: What is Stephen Pakkianathan's NPI number?

The NPI number for Stephen Pakkianathan is 1124227566. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Q: What is Stephen Pakkianathan's specialty?

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

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment

105 W 8TH AVE STE 6020, SPOKANE, WA 99204(509) 455-5050(509) 747-5391 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2021, Jul 6, 2017 (2 updates tracked since 2017).

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About Dr. Stephen Jebaraj Pakkianathan M.d. NPPES

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

DR. STEPHEN JEBARAJ PAKKIANATHAN M.D. (NPI 1124227566) is an individual obstetrics & gynecology provider in Spokane, Washington, licensed in Washington (MD60310359) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Loma Linda University School Of Medicine (2007).

NPPES Registry Identity

NPI1124227566

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. STEPHEN JEBARAJ PAKKIANATHANCredential: M.D.

Location Address105 W 8TH AVE STE 6020Spokane, WA 99204-2319

Mailing Address105 W 8th Ave Ste 6020Spokane, WA 99204-2319 · (509) 455-5050 · Fax (509) 747-5391

Phone(509) 455-5050

Fax(509) 747-5391

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2007

Enumeration DateJuly 16, 2007

Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2021

✔ NPI 1124227566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WA · MD60310359

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

105 W 8TH AVE STE 6020, Spokane, WA 99204

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Other Identifiers 1

Medicaid2022661WA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen Jebaraj Pakkianathan 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 ID5597938829

PECOS Enrollment IDI20121129000605, I20240117004545

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.

Medicare Billing Reassignments

Medicare enrollment records show Stephen Pakkianathan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inland Obstetrics And Gynecology PLLC

Same address

Obstetrics & Gynecology

105 W 8TH AVE STE 6020
Spokane, WA 99204

Reassigned Medicare billing, Washington enrollment
6 clinicians in this Medicare group

NPI 1114943669 (509) 455-5050

Providence Health & Services Washington

0.1 mi

Pulmonary Disease

101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR
Spokane, WA 99204

Reassigned Medicare billing, Washington enrollment
862 clinicians in this Medicare group

NPI 1194099390 (509) 474-2072

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500054

Location101 West 8th AvenueSpokane, WA 99204 · Spokane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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.

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

100%22 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

HAILEY MARIE NERVINO ARNP, WHNP-BC

Nurse Practitioner (Women's Health)