VASANTHI S GOWRI MD
NPI 1194762922
Hospitalist in Edmonds, WA

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
21601 76TH AVE W, EDMONDS, WA 98026(425) 640-4000(425) 640-4010 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vasanthi S Gowri Md NPPES

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

VASANTHI S GOWRI MD (NPI 1194762922) is an individual hospitalist provider in Edmonds, Washington, licensed in Washington (MD00035840) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1194762922
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameVASANTHI S GOWRICredential: MD
Location Address21601 76TH AVE WEdmonds, WA 98026-7507
Mailing AddressPo Box 25608Seattle, WA 98165-1108 · (206) 320-4476 · Fax (206) 568-7043
Fax(425) 640-4010
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 1, 2006
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
NPI 1194762922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WA · MD00035840
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD00035840 (WA)
21601 76TH AVE W, Edmonds, WA 98026

Other Identifiers 1

Medicaid1194762922WA

Accepted 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

Vasanthi S Gowri 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 ID3870495013
PECOS Enrollment IDI20040127000256
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
88 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients

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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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

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.

Physician Assistant
21601 76TH AVE W
EDMONDS, WA 98026
Hospitalist
21601 76TH AVE W
EDMONDS, WA 98026
Psychiatric Unit
21601 76TH AVE W
EDMONDS, WA 98026
Physical Therapist
21601 76TH AVE W
EDMONDS, WA 98026
General Acute Care Hospital
21601 76TH AVE W
EDMONDS, WA 98026
Psychiatry & Neurology (Neurology)
21601 76TH AVE W
EDMONDS, WA 98026
Pharmacist
21601 76TH AVE W
EDMONDS, WA 98026
Psychiatry & Neurology (Psychiatry)
21601 76TH AVE W
EDMONDS, WA 98026

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 Vasanthi Gowri's NPI number?

The NPI number for Vasanthi Gowri is 1194762922. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Vasanthi Gowri located?

Vasanthi Gowri practices at 21601 76th Ave W, Edmonds, WA 98026. The listed phone number is (425) 640-4000.

What is Vasanthi Gowri's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Vasanthi Gowri enrolled in Medicare?

Yes. Vasanthi Gowri 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 Vasanthi Gowri accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Vasanthi Gowri 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 Vasanthi Gowri affiliated with any hospitals?

According to CMS data, Vasanthi Gowri is affiliated with Swedish Edmonds Hospital.

When was this NPI record last updated?

The NPPES record for Vasanthi Gowri was last updated on September 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.