AJAY KUMAR GOPAL
NPI 1194801902
Internal Medicine - Medical Oncology in Seattle, WA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST, SEATTLE, WA 98109(206) 288-1000 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ajay Kumar Gopal NPPES

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

AJAY KUMAR GOPAL (NPI 1194801902) is an individual medical oncology provider in Seattle, Washington, licensed in Washington (MD00034592) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Emory University School Of Medicine (1993).

NPPES Registry Identity

NPI1194801902
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameAJAY KUMAR GOPAL
Location AddressAMBULATORY CLINIC, 825 EASTLAKE AVENUE EASTSeattle, WA 98109
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1993
Enumeration DateOctober 27, 2006
Last NPPES UpdateOctober 26, 2011
NPI 1194801902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in WA · MD00034592
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD00034592 (WA)
AMBULATORY CLINIC, Seattle, WA 98109

Other Identifiers 5

Medicare UPING28808
Medicare PINAB15947WA
Other2000181Internal Id-motor Vehicle Id
Other0231159WA · L&i
Medicaid1194801902WA

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

Ajay Kumar Gopal 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 ID547395980
PECOS Enrollment IDI20100324000216
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 2

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 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.
55 services30 patients
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.
52 services44 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Internal Medicine (Medical Oncology)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Physician Assistant
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Internal Medicine (Infectious Disease)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Internal Medicine (Infectious Disease)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Internal Medicine (Infectious Disease)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Psychologist (Clinical)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Physician Assistant
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109

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 Ajay Gopal's NPI number?

The NPI number for Ajay Gopal is 1194801902. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Ajay Gopal located?

Ajay Gopal practices at Ambulatory Clinic 825 Eastlake Avenue East, Seattle, WA 98109. The listed phone number is (206) 288-1000.

What is Ajay Gopal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Ajay Gopal enrolled in Medicare?

Yes. Ajay Gopal 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 Ajay Gopal accept?

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

According to CMS data, Ajay Gopal is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Ajay Gopal was last updated on October 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.