RAMANJOT GREWAL ARNP
NPI 1164015616
Nurse Practitioner - Family in Bellevue, WA

NPI Status: Active since February 16, 2021

Contact Information

13451 SE 36TH ST
BELLEVUE, WA
ZIP 98006
Phone: (425) 562-1337
Fax: (425) 562-1331

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About RAMANJOT GREWAL

This page provides the complete NPI Profile along with additional information for Ramanjot Grewal, a provider established in Bellevue, Washington with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1164015616 assigned on February 2021. The practitioner's primary taxonomy code is 363LF0000X with license number AP61103710 (WA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1164015616
Provider Name
RAMANJOT GREWAL ARNP
Gender
Female
Entity Type
Individual
Location Address
13451 SE 36TH ST BELLEVUE, WA 98006
Location Phone
(425) 562-1337
Location Fax
(425) 562-1331
Mailing Address
13451 SE 36TH ST BELLEVUE, WA 98006
Mailing Phone
(425) 562-1337
Mailing Fax
(425) 562-1331
Is Sole Proprietor?
Yes
Enumeration Date
02-16-2021
Last Update Date
11-27-2022
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A nurse practitioner (NP) like Ramanjot Grewal is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 23745 225th Way SE Ste 201
    Maple Valley, WA 98038
    (888) 674-5871

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP61103710
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ramanjot Grewal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    2 DME suppliers used 55 Medicare Claims 99 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)

    4 DME suppliers used 33 Medicare Claims 33 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

    4 DME suppliers used 33 Medicare Claims 33 Services Paid

  • DME-Wheelchairs (DD000N)

    Manual adult size wheelchair, includes tilt in space (HCPCS:E1161)

    4 DME suppliers used 33 Medicare Claims 33 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 20 Medicare Claims 20 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Wheelchairs (DD021N)

    Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

    2 DME suppliers used 14 Medicare Claims 14 Services Paid

Unknown

  • Other-Enteral and Parenteral (OB006N)

    Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)

    1 DME suppliers used 23 Medicare Claims 661 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4152)

    2 DME suppliers used 33 Medicare Claims 19171 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4155)

    1 DME suppliers used 11 Medicare Claims 201 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Assessment of and care planning for impaired thought processing, typically 50 minutes

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

This service was performed 14 times for 14 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

This service was performed 30 times for 29 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

This service was performed 45 times for 43 patients

Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes

This refers to a routine medical visit for an established patient living in a group care facility, custodial care, or assisted living. The visit typically lasts 25 minutes and includes a check-up and discussion about ongoing healthcare needs.

This service was performed 297 times for 112 patients

Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes

This is a routine visit for established patients residing in care facilities like nursing homes or assisted living. The visit typically lasts about 40 minutes, during which the healthcare provider checks your overall health, discusses any concerns, and adjusts care plans as needed.

This service was performed 297 times for 120 patients

New patient custodial care facility, group care, or assisted living visit, typically 1 hour

This service involves a one-hour visit for a new patient at a custodial care facility, group care home, or assisted living facility. During this time, a healthcare professional will assess the patient's health condition, discuss care plans, and address any concerns the patient may have.

This service was performed 34 times for 34 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98006 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $97.43
  • Minimum New Patient Price $63.67
  • Maximum New Patient Price $189.37
  • Average New Patient Copayment $24.35
  • Minimum New Patient Copayment $15.91
  • Maximum New Patient Copayment $47.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111
  • Minimum Established Patient Price $21.12
  • Maximum Established Patient Price $155
  • Average Established Patient Copayment $27.75
  • Minimum Established Patient Copayment $5.28
  • Maximum Established Patient Copayment $38.75

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164015616, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 0 + 1 + 1 + 0 + 6 + 2 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1164015616.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
13451 SE 36TH ST
BELLEVUE, WA 98006
Registered Nurse
13451 SE 36TH ST
BELLEVUE, WA 98006
Family Medicine
13451 SE 36TH ST
BELLEVUE, WA 98006
Family Medicine
13451 SE 36TH ST
BELLEVUE, WA 98006
Family Medicine
13451 SE 36TH ST
BELLEVUE, WA 98006
Pharmacist
13451 SE 36TH ST
BELLEVUE, WA 98006
Pharmacist
13451 SE 36TH ST
BELLEVUE, WA 98006
Pharmacist
13451 SE 36TH ST
BELLEVUE, WA 98006
Pharmacist
13451 SE 36TH ST
BELLEVUE, WA 98006
Family Medicine
13451 SE 36TH ST
BELLEVUE, WA 98006
Nurse Practitioner
13451 SE 36TH ST
BELLEVUE, WA 98006
Pharmacist
13451 SE 36TH ST
BELLEVUE, WA 98006
Counselor (Mental Health)
13451 SE 36TH ST
BELLEVUE, WA 98006
Social Worker
13451 SE 36TH ST
BELLEVUE, WA 98006
Pediatrics (Adolescent Medicine)
13451 SE 36TH ST, FAC FACTORIA MEDICAL CENTER
BELLEVUE, WA 98006
Pharmacist
13451 SE 36TH ST
BELLEVUE, WA 98006
Pharmacist
13451 SE 36TH ST
BELLEVUE, WA 98006
Psychologist (Clinical)
13451 SE 36TH ST
BELLEVUE, WA 98006
Marriage & Family Therapist
13451 SE 36TH ST
BELLEVUE, WA 98006
Psychiatry & Neurology (Psychiatry)
13451 SE 36TH ST
BELLEVUE, WA 98006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164015616, enumerated as an "individual" on February 16, 2021.

The provider is located at 13451 SE 36TH ST BELLEVUE, WA 98006 and the phone number is (425) 562-1337.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.