ROINI M. WADHWANI ARNP
NPI 1487940094
Nurse Practitioner - Family in Seattle, WA

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
4400 37TH AVE S, SEATTLE, WA 98118(206) 461-6957(206) 461-7810 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roini M. Wadhwani Arnp NPPES

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

ROINI M. WADHWANI ARNP (NPI 1487940094) is an individual family provider in Seattle, Washington, licensed in Washington (AP60230075) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of University Of Washington School Of Medicine (2011).

NPPES Registry Identity

NPI1487940094
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROINI M. WADHWANICredential: ARNP
Location Address4400 37TH AVE SSeattle, WA 98118-1609
Mailing Address1200 12th Ave S, Suite 901Seattle, WA 98144-2712 · (206) 548-3114 · Fax (206) 762-6355
Fax(206) 461-7810
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2011
Enumeration DateJune 22, 2011
Last NPPES UpdateJanuary 6, 2017
NPI 1487940094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP60230075
4400 37TH AVE S, Seattle, WA 98118

Other Identifiers 1

Medicaid2012861WA

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

Roini M. Wadhwani Arnp 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 ID6002066172
PECOS Enrollment IDI20121025000651
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 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.
48 services21 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
22 services12 patients

Hospital Affiliations CMS Care Compare

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

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98118 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.

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

Referred Medical Equipment & Supplies CMS DME claims

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

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
3 suppliers52 claims52 services$182.53 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.

Family Medicine
4400 37TH AVE S
SEATTLE, WA 98118
Nurse Practitioner (Family)
4400 37TH AVE S
SEATTLE, WA 98118
Registered Nurse (Women's Health Care, Ambulatory)
4400 37TH AVE S
SEATTLE, WA 98118
Nurse Practitioner (Family)
4400 37TH AVE S
SEATTLE, WA 98118
Registered Nurse (Community Health)
4400 37TH AVE S
SEATTLE, WA 98118
Clinic/Center (Federally Qualified Health Center (FQHC))
4400 37TH AVE S
SEATTLE, WA 98118
Nurse Practitioner (Pediatrics)
4400 37TH AVE S
SEATTLE, WA 98118
Dietitian, Registered
4400 37TH AVE S
SEATTLE, WA 98118

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 Roini Wadhwani's NPI number?

The NPI number for Roini Wadhwani is 1487940094. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Roini Wadhwani located?

Roini Wadhwani practices at 4400 37th Ave S, Seattle, WA 98118. The listed phone number is (206) 461-6957.

What is Roini Wadhwani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Roini Wadhwani enrolled in Medicare?

Yes. Roini Wadhwani 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 Roini Wadhwani accept?

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

According to CMS data, Roini Wadhwani is affiliated with Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Roini Wadhwani was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.