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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KOUSHIK VARMA SANGARAJU
NPI 1679148043
Internal Medicine - Rheumatology in Lacey, WA

Active since May 26, 2021PECOS Enrolled
4800 COLLEGE ST SE, LACEY, WA 98503(360) 413-4250(360) 412-2262 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2022, May 26, 2021 (2 updates tracked since 2021).

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 and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679148043
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameKOUSHIK VARMA SANGARAJU
Location Address4800 COLLEGE ST SELacey, WA 98503-4389
Mailing Address4800 College St SeLacey, WA 98503-4389 · (360) 413-4250 · Fax (360) 412-2262
Phone(360) 413-4250
Fax(360) 412-2262
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 26, 2021
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1679148043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in WA · MD.MD.70105939
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4800 COLLEGE ST SE, Lacey, WA 98503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koushik Varma Sangaraju is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224502430
PECOS Enrollment IDI20260629003759
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.

Physician 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.

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.

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.

JUMAN PARK DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
DR. ABRAHAM WUSEOK JEON DO
Family Medicine
4800 COLLEGE ST SE, PMG SW WA LACEY FAM MED
LACEY, WA 98503
Thurston County (360) 486-2900
GRIGORIY A ROZENFELD DO
Emergency Medicine
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
KAREN LEE NEWMAN
Counselor
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-5722
IAN SERRATO
Nurse Practitioner (Family)
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-4500
MICHAELA JANE DE GROOT PT, DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
CARA ELIZABETH BARDWELL PA-C
Physician Assistant
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
STEPHANIE MARY DEMPSEY RN
Registered Nurse
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900

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 enrollment system.

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 59 days 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.