DR. SHAKUNTHALA REVANNAGOWDA MD
NPI 1659729564
Radiology - Nuclear Radiology in Seattle, WA

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 520-5000 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2022, Sep 30, 2019, Jun 27, 2017 (3 updates tracked since 2017).

About Dr. Shakunthala Revannagowda Md NPPES

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

DR. SHAKUNTHALA REVANNAGOWDA MD (NPI 1659729564) is an individual nuclear radiology provider in Seattle, Washington, licensed in Washington (MD60998671) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1659729564
Entity TypeIndividualFemale
Primary Taxonomy2085N0904X
Provider Legal NameDR. SHAKUNTHALA REVANNAGOWDACredential: MD
Location Address1959 NE PACIFIC STSeattle, WA 98195-3901
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 1, 2016
Last NPPES UpdateMay 10, 20223 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
NPI 1659729564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0904X
License Licensed in WA · MD60998671
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License MD60998671 (WA)
1959 NE PACIFIC ST, Seattle, WA 98195

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

Dr. Shakunthala Revannagowda 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 ID8224360797
PECOS Enrollment IDI20191101002429
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.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

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 Shakunthala Revannagowda's NPI number?

The NPI number for Shakunthala Revannagowda is 1659729564. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Shakunthala Revannagowda located?

Shakunthala Revannagowda practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 520-5000.

What is Shakunthala Revannagowda's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Is Shakunthala Revannagowda enrolled in Medicare?

Yes. Shakunthala Revannagowda 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.

When was this NPI record last updated?

The NPPES record for Shakunthala Revannagowda was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.