SANJIV TEWARI M.D.
NPI 1609886290
Internal Medicine - Pulmonary Disease in Everett, WA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1321 COLBY AVE, EVERETT, WA 98201(425) 404-8227 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sanjiv Tewari M.d. NPPES

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

SANJIV TEWARI M.D. (NPI 1609886290) is an individual pulmonary disease provider in Everett, Washington, licensed in Washington (MD70035780) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1609886290
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSANJIV TEWARICredential: M.D.
Location Address1321 COLBY AVEEverett, WA 98201-1665
Mailing Address224 W. Exchange St, Suite 380Akron, OH 44302 · (330) 344-6676 · Fax (330) 434-3611
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 8, 2006
Last NPPES UpdateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
NPI 1609886290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in WA · MD70035780 Licensed in FL · ME152385
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD70035780 (WA)
1321 COLBY AVE, Everett, WA 98201

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

Sanjiv Tewari 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 ID2961474697
PECOS Enrollment IDI20260214000354
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.

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers34 claims34 services$27.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers21 claims21 services$60.56 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers38 claims54 services$24.21 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers36 claims91 services$14.36 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers72 claims156 services$10.63 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers45 claims45 services$37.27 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.

Surgery (Trauma Surgery)
1321 COLBY AVE
EVERETT, WA 98201
Radiology (Diagnostic Radiology)
1321 COLBY AVE
EVERETT, WA 98201
Internal Medicine
1321 COLBY AVE
EVERETT, WA 98201
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201
Pharmacy (Community/Retail Pharmacy)
1321 COLBY AVE
EVERETT, WA 98201
Occupational Therapist
1321 COLBY AVE
EVERETT, WA 98201
Emergency Medicine
1321 COLBY AVE
EVERETT, WA 98201
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201

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 Sanjiv Tewari's NPI number?

The NPI number for Sanjiv Tewari is 1609886290. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Sanjiv Tewari located?

Sanjiv Tewari practices at 1321 Colby Ave, Everett, WA 98201. The listed phone number is (425) 404-8227.

What is Sanjiv Tewari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sanjiv Tewari enrolled in Medicare?

Yes. Sanjiv Tewari 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 Sanjiv Tewari accept?

Health plans from CareSource list Sanjiv Tewari 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 Sanjiv Tewari affiliated with any hospitals?

According to CMS data, Sanjiv Tewari is affiliated with Providence Regional Medical Center Everett.

When was this NPI record last updated?

The NPPES record for Sanjiv Tewari was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.