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MR. PARAMPREET SINGH GHUMAN MD
NPI 1528228186
Internal Medicine - Nephrology in Mount Vernon, WA

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
121 S. 12TH ST, STE B, MOUNT VERNON, WA 98274(360) 982-2210(360) 982-2502 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Parampreet Singh Ghuman Md NPPES

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

MR. PARAMPREET SINGH GHUMAN MD (NPI 1528228186) is an individual nephrology provider in Mount Vernon, Washington, licensed in Washington (MD60347939) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1528228186
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMR. PARAMPREET SINGH GHUMANCredential: MD
Location Address121 S. 12TH ST, STE BMount Vernon, WA 98274
Mailing Address121 S. 12th St., Ste BMount Vernon, WA 98274 · (360) 982-2210 · Fax (360) 982-2502
Phone(360) 982-2210
Fax(360) 982-2502
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 16, 2008
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1528228186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in WA · MD60347939
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
121 S. 12TH ST, Mount Vernon, WA 98274
Open in Google Maps ↗

Secondary Practice Location 1

Location 11708 Yakima Ave Ste 107Tacoma, WA 98405-5300 · Phone (253) 207-4850 · Fax (253) 383-0161

Other Identifiers 1

Medicaid2026195WA

Accepted Insurance

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

Mr. Parampreet Singh Ghuman 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 ID1153563929
PECOS Enrollment IDI20130806000948
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

2

Medicare enrollment records show Parampreet Ghuman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

C J Kuan MD Inc Ps
31 mi
Nephrology
1111 PACIFIC AVE STE B
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 2 clinicians in this Medicare group
NPI 1053592022 (360) 982-2210
Franciscan Medical Group
55 mi
Internal Medicine
2200 NW MYHRE RD
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 1,526 clinicians in this Medicare group
NPI 1710432612 (360) 830-1600

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 13

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.
401 services239 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.
178 services121 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.
133 services61 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
102 services29 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
82 services22 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
69 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Peacehealth United General Medical Center

Critical Access Hospitals · Sedro Woolley, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501329
Location2000 Hospital DriveSedro Woolley, WA 98284 · Skagit County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
6%472 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
99%206 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,952 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,854 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
99%171 patients5/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
26%833 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
42%472 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%700 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
25%1,037 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 91% · 531 patients
97%531 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%833 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%833 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 472 patients
1%472 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

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$74.53 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers75 claims6,225 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers30 claims4,380 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers43 claims3,660 services$0.90 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers55 claims55 services$17.55 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
8 suppliers88 claims112 services$11.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Parampreet Ghuman's NPI number?

The NPI number for Parampreet Ghuman is 1528228186. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Parampreet Ghuman located?

Parampreet Ghuman practices at 121 S. 12th St Ste B, Mount Vernon, WA 98274. The listed phone number is (360) 982-2210.

What is Parampreet Ghuman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Parampreet Ghuman enrolled in Medicare?

Yes. Parampreet Ghuman 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 Parampreet Ghuman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parampreet Ghuman reassigns Medicare benefits to 2 organizations: C J Kuan MD Inc Ps (Everett, WA) and Franciscan Medical Group (Silverdale, WA). 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 Parampreet Ghuman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parampreet Ghuman accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Parampreet Ghuman 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 Parampreet Ghuman affiliated with any hospitals?

According to CMS data, Parampreet Ghuman is affiliated with Skagit Valley Hospital, Island Hospital, Providence Regional Medical Center Everett, St Anthony Hospital and Peacehealth United General Medical Center.

When was this NPI record last updated?

The NPPES record for Parampreet Ghuman was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.