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NIHARIKA PASUMARTY
NPI 1356862346
Family Medicine in Seattle, WA

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
81.86/100
CMS Quality Rating
904 7TH AVE, SEATTLE, WA 98104(425) 339-5453(425) 252-4441 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2026, Jul 1, 2025, Jul 3, 2023 and 2 more (5 updates tracked since 2017).

About Niharika Pasumarty NPPES

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

NIHARIKA PASUMARTY (NPI 1356862346) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD61619513) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356862346
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNIHARIKA PASUMARTY
Location Address904 7TH AVESeattle, WA 98104-1132
Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414
Phone(425) 339-5453
Fax(425) 252-4441
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 29, 2017
Last NPPES UpdateJune 6, 20265 updates tracked since enumeration
NPPES CertifiedJune 6, 2026
✔ NPI 1356862346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD61619513✔ Licensed in NY · 306568
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
904 7TH AVE, Seattle, WA 98104
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Niharika Pasumarty 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 ID9335485218
PECOS Enrollment IDI20250605002280
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 3

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 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.
69 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
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.

81.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.82
Promoting Interoperability100
Improvement Activities40
Cost43.82

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers33 claims76 services$5.42 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier14 claims270 services$6.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.00 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers34 claims34 services$181.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LAURA MORRISON MD
Dermatology
904 7TH AVE
SEATTLE, WA 98104
King County (206) 860-4691
DR. JOSEPH W DAVIS M.D.
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
King County (206) 860-5574
MANDY WARNER MATTA PA-C
Physician Assistant (Surgical)
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
ANTONIUS MULIA M.D.
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
KATHLEEN MAKIELSKI M.D.
Otolaryngology
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
DR. XIANGPING REN MD
Physical Medicine & Rehabilitation (Pain Medicine)
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
ANNA H STEPCZYNSKI M.D.
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
King County (206) 860-5574
NEHA MITRAGOTRI
Pediatrics
904 7TH AVE
SEATTLE, WA 98104
King County (206) 292-2249

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 Niharika Pasumarty's NPI number?

The NPI number for Niharika Pasumarty is 1356862346. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Niharika Pasumarty located?

Niharika Pasumarty practices at 904 7th Ave, Seattle, WA 98104. The listed phone number is (425) 339-5453.

What is Niharika Pasumarty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Niharika Pasumarty enrolled in Medicare?

Yes. Niharika Pasumarty 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 Niharika Pasumarty accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Niharika Pasumarty 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.

When was this NPI record last updated?

The NPPES record for Niharika Pasumarty was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.