KOUSHIK VARMA SANGARAJU
NPI 1679148043
Internal Medicine - Rheumatology in Lacey, WA
About Koushik Varma Sangaraju NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOUSHIK VARMA SANGARAJU (NPI 1679148043) is an individual rheumatology provider in Lacey, Washington, licensed in Washington (MD.MD.70105939) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Koushik Varma Sangaraju 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.
Medicare Billing Reassignment
Medicare enrollment records show Koushik Sangaraju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
- 646 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PAProvidence Centralia Hospital
Acute Care Hospitals · Centralia, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LACEY, WA 98503
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 Koushik Sangaraju's NPI number?
The NPI number for Koushik Sangaraju is 1679148043. It was assigned to this individual provider in the NPPES registry on May 26, 2021.
Where is Koushik Sangaraju located?
Koushik Sangaraju practices at 4800 College St SE, Lacey, WA 98503. The listed phone number is (360) 413-4250.
What is Koushik Sangaraju's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Koushik Sangaraju enrolled in Medicare?
Yes. Koushik Sangaraju 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 organization bills Medicare for Koushik Sangaraju's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Koushik Sangaraju reassigns Medicare benefits to Providence Health & Services Washington (Olympia, WA). The 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 Koushik Sangaraju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Koushik Sangaraju accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Koushik Sangaraju 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 Koushik Sangaraju affiliated with any hospitals?
According to CMS data, Koushik Sangaraju is affiliated with St Luke's Hospital Bethlehem and Providence Centralia Hospital.
When was this NPI record last updated?
The NPPES record for Koushik Sangaraju was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Koushik Varma Sangaraju · NPI 1679148043
Rheumatology physician in Lacey, Washington. Individual provider, active in the CMS NPPES registry since May 26, 2021.
## Identity
- **NPI:** 1679148043 (Entity type: Individual)
- **Enumerated:** May 26, 2021
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** MD.MD.70105939 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 4800 COLLEGE ST SE, Lacey, WA 98503-4389
- **Phone:** (360) 413-4250 · **Fax:** (360) 412-2262
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Health & Services Washington (NPI 1174744304, Olympia, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 25, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1679148043) · Data from the CMS NPPES public registry.