RAJ CHANDRU BUTANI M.D.
NPI 1285695221
Internal Medicine - Gastroenterology in Bellevue, WA

Q: What is Raj Butani's NPI number?

The NPI number for Raj Butani is 1285695221. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Raj Butani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Raj Butani was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment

1135 116TH AVE NE, SUITE 560, BELLEVUE, WA 98004(425) 467-0150(425) 467-0599 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Raj Chandru Butani M.d. NPPES

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

RAJ CHANDRU BUTANI M.D. (NPI 1285695221) is an individual gastroenterology provider in Bellevue, Washington, licensed in Washington (MD00048064) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Medical College Of Pennsylvania (1996).

NPPES Registry Identity

NPI1285695221

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameRAJ CHANDRU BUTANICredential: M.D.

Location Address1135 116TH AVE NE, SUITE 560Bellevue, WA 98004

Mailing AddressPo Box 3006Tacoma, WA 98401-3006

Phone(425) 467-0150

Fax(425) 467-0599

Sole ProprietorNo

Medical School CMSMedical College Of PennsylvaniaGraduated 1996

Enumeration DateMarch 29, 2006

Last NPPES UpdateJuly 2, 2018

✔ NPI 1285695221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in WA · MD00048064

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1135 116TH AVE NE, Bellevue, WA 98004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Raj Chandru Butani 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 ID7416963566

PECOS Enrollment IDI20070807000167

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 Raj Butani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington Gastroenterology PLLC

23 mi

Clinical Medical Laboratory

33915 1ST WAY S STE 203
Federal Way, WA 98003

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

NPI 1245265826 (253) 838-9839

St Peter's Medical Group North

484 mi

Family Medicine

3330 PTARMIGAN LN
Helena, MT 59602

Reassigned Medicare billing, Montana enrollment
Medicare enrollment name: St Peters Health
304 clinicians in this Medicare group

NPI 1477844744 (406) 495-6600

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

Areas of Expertise CMS Part B claims 11

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

94 services94 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

73 services69 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

61 services61 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 services48 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.

43 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

20 services20 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.

18 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 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.

13 services11 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

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.

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.

JOSEPH W DOUCETTE M.D.

Internal Medicine (Cardiovascular Disease)

1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004

King County (425) 454-2656

WASHINGTON IMAGING SERVICES LLC

Specialist

1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004

King County (425) 688-0100

ROANNE R E SELINGER MD

Internal Medicine (Gastroenterology)

1135 116TH AVE NE, #560
BELLEVUE, WA 98004

King County (425) 454-4768

OVERLAKE BREAST IMAGING LLC

Clinic/Center (Radiology)

1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004

King County (425) 467-3754

DAVID C MORTON M.D.

Internal Medicine

1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004

King County (425) 289-3100

SHIE-PON TZUNG MD PHD

Internal Medicine (Gastroenterology)

1135 116TH AVE NE, #560
BELLEVUE, WA 98004

King County (425) 454-4768

PROLIANCE SURGEONS INC., P.S.

Orthopaedic Surgery

1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004

King County (425) 455-3600

OVERLAKE MEDICAL TOWER PHARMACY

Pharmacy (Community/Retail Pharmacy)

1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004

King County (425) 688-5958

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 Raj Butani's NPI number?

The NPI number for Raj Butani is 1285695221. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Raj Butani located?

Raj Butani practices at 1135 116th Ave NE Suite 560, Bellevue, WA 98004. The listed phone number is (425) 467-0150.

What is Raj Butani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Raj Butani enrolled in Medicare?

Yes. Raj Butani 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.

Which organizations bill Medicare for Raj Butani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raj Butani reassigns Medicare benefits to 2 organizations: Washington Gastroenterology PLLC (Federal Way, WA) and St Peter's Medical Group North (Helena, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raj Butani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raj Butani accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Raj Butani 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 Raj Butani affiliated with any hospitals?

According to CMS data, Raj Butani is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Raj Butani was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.