RAJNISH MISHRA MD
NPI 1538376777
Internal Medicine - Gastroenterology in Seattle, WA

Q: What is Rajnish Mishra's NPI number?

The NPI number for Rajnish Mishra is 1538376777. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Rajnish Mishra'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 Rajnish Mishra was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 17, 2007PECOS EnrolledAccepts Medicare Assignment

82.84/100

CMS Quality Rating

1221 MADISON ST, STE 1220, SEATTLE, WA 98104(206) 215-4250 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Rajnish Mishra Md NPPES

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

RAJNISH MISHRA MD (NPI 1538376777) is an individual gastroenterology provider in Seattle, Washington, licensed in Washington (MD60234885) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and maintains a secondary practice location in Issaquah.

NPPES Registry Identity

NPI1538376777

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameRAJNISH MISHRACredential: MD

Location Address1221 MADISON ST, STE 1220Seattle, WA 98104-3588

Mailing Address1221 Madison St, Ste 1220Seattle, WA 98104-3588 · (206) 215-4250

Phone(206) 215-4250

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMay 17, 2007

Last NPPES UpdateJune 17, 2021

NPPES CertifiedJune 17, 2021

✔ NPI 1538376777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in WA · MD60234885✔ Licensed in MI · 4301096338

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301096338 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116017320 (VA)

1221 MADISON ST, Seattle, WA 98104

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Secondary Practice Location 1

Location 1751 NE Blakely Dr Ste 3020Issaquah, WA 98029-6201 · Phone (425) 313-5345 · Fax (425) 313-7176

Other Identifiers 1

OtherMD60234885WA · Wa State License

Accepted Insurance

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

Rajnish Mishra 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 ID4587722509

PECOS Enrollment IDI20111103000709

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 19

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.

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

73 services40 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.

69 services62 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

66 services41 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

46 services34 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.

40 services28 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.

33 services33 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.

28 services24 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

26 services26 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.

25 services24 patients

Balloon dilation of pancreatic or bile duct or sphincter using a flexible endoscope 43277

Balloon dilation is a procedure where a tiny balloon is inserted via an endoscope into your pancreatic or bile duct. The balloon is then inflated to widen the duct, improving flow and relieving blockages. It's a non-surgical, minimally invasive procedure.

24 services20 patients

Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276

This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.

23 services13 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

18 services16 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.

17 services15 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

17 services14 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.

14 services11 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

13 services13 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

13 services12 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

12 services11 patients

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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500084

Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County

Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King County

Emergency services Birthing friendly

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

$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.

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.

82.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.14

Promoting Interoperability

100

Improvement Activities

Cost

60.65

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.

PET-CT IMAGING AT SWEDISH CANCER INSTITUTE LLC

Radiology (Diagnostic Radiology)

1221 MADISON ST, STE 150
SEATTLE, WA 98104

King County (206) 215-6487

SWEDISH HEALTH SERVICES

Surgery

1221 MADISON ST, STE 1411
SEATTLE, WA 98104

King County (206) 386-6700

MARTHA A. CLAY ARNP

Nurse Practitioner (Adult Health)

1221 MADISON ST, SUITE 400
SEATTLE, WA 98104

King County (206) 215-6400

SWATHI NAMBURI MD

Internal Medicine (Hematology & Oncology)

1221 MADISON ST, STE 1020
SEATTLE, WA 98104

King County (206) 215-2658

DR. MARC HORTON MD

Surgery

1221 MADISON ST
SEATTLE, WA 98104

King County (206) 386-6700

LASER VISION CENTERS, INC.

Clinic/Center

1221 MADISON ST, STE. 690
SEATTLE, WA 98104

King County (206) 215-3555

JILL RENDER M.D.

Pediatrics

1221 MADISON ST, SUITE 910
SEATTLE, WA 98104

King County (206) 329-1760

AGNES S HUANG MD

Ophthalmology

1221 MADISON ST, STE 1415
SEATTLE, WA 98104

King County (206) 328-7614

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 Rajnish Mishra's NPI number?

The NPI number for Rajnish Mishra is 1538376777. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Rajnish Mishra located?

Rajnish Mishra practices at 1221 Madison St Ste 1220, Seattle, WA 98104. The listed phone number is (206) 215-4250.

What is Rajnish Mishra's specialty?

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

Is Rajnish Mishra enrolled in Medicare?

Yes. Rajnish Mishra 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 Rajnish Mishra accept?

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

According to CMS data, Rajnish Mishra is affiliated with Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Rajnish Mishra was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.