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BHUPESH RATHOD M.D
NPI 1699077263
Hospitalist in Enumclaw, WA

Active since December 02, 2010PECOS EnrolledAccepts Medicare Assignment
1455 BATTERSBY AVE, ENUMCLAW, WA 98022(253) 426-6341(253) 426-6344 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bhupesh Rathod M.d NPPES

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

BHUPESH RATHOD M.D (NPI 1699077263) is an individual hospitalist provider in Enumclaw, Washington, licensed in Washington (MD60332000) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699077263
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBHUPESH RATHODCredential: M.D
Location Address1455 BATTERSBY AVEEnumclaw, WA 98022
Mailing AddressPo Box 31001-1518Pasadena, CA 91110-0001 · (253) 779-6260 · Fax (253) 779-6294
Phone(253) 426-6341
Fax(253) 426-6344
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 2, 2010
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1699077263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in WA · MD60332000✔ Licensed in OH · 35-097132
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35-097132 (OH), MD60332000 (WA)
1455 BATTERSBY AVE, Enumclaw, WA 98022
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Secondary Practice Locations 2

Location 1400 S 43rd StRenton, WA 98055-5714 · Phone (425) 690-1000
Location 2234 Goodman St, ML 0535Cincinnati, OH 45219-2364 · Phone (513) 558-7581 · Fax (513) 558-4399

Other Identifiers 4

Medicaid7100167000KY
Medicaid201023160IN
Medicaid2029557WA
Medicaid3149060OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Bhupesh Rathod 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 ID8325225949
PECOS Enrollment IDI20140220000505
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Bhupesh Rathod reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System
12 mi
Diagnostic Radiology
17700 SE 272ND ST
Covington, WA 98042
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1578803839 (253) 372-7040
South Sound Inpatient Physicians PLLC
13 mi
Hospitalist
202 N DIVISION ST
Auburn, WA 98001
  • Reassigned Medicare billing, Washington enrollment
  • 915 clinicians in this Medicare group
NPI 1215104443 (253) 682-1710
Franciscan Medical Group
18 mi
Family Medicine
1717 S J ST # MS 20-15
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 1,526 clinicians in this Medicare group
NPI 1366539421 (253) 779-6100
Valley Medical Group-Renton
19 mi
General Acute Care Hospital
400 S 43RD ST
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 689 clinicians in this Medicare group
NPI 1619209574 (425) 228-3440
Virginia Mason Medical Center
32 mi
Gastroenterology
1100 9TH AVE
Seattle, WA 98101
  • Reassigned Medicare billing, Washington enrollment
  • 1,021 clinicians in this Medicare group
NPI 1003970989 (206) 223-6600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
65 services50 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98022 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.

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.

ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
General Acute Care Hospital (Critical Access)
1455 BATTERSBY AVE
ENUMCLAW, WA 98022
King County (360) 802-3265
DR. YONGQING LI MD
Hospitalist
1455 BATTERSBY AVE
ENUMCLAW, WA 98022
King County (253) 426-6341
SKYLER W MURDOCK CRNA
Nurse Anesthetist, Certified Registered
1455 BATTERSBY AVE
ENUMCLAW, WA 98022
King County (844) 364-2778
DANIEL JAMES HIMELIC
Emergency Medicine
1455 BATTERSBY AVE
ENUMCLAW, WA 98022
King County (360) 802-8320
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
Anesthesiology
1455 BATTERSBY AVE
ENUMCLAW, WA 98022
King County (253) 426-4692
VALERIE S. FORSCH MSW, LICSW
Social Worker (Clinical)
1455 BATTERSBY AVE
ENUMCLAAW, WA 98022
King County (253) 552-5615
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
Medicare Defined Swing Bed Unit
1455 BATTERSBY AVE
ENUMCLAW, WA 98022
King County (888) 846-7304
COLM ACUFF DO
Emergency Medicine
1455 BATTERSBY AVE
ENUMCLAW, WA 98022
King County (912) 350-3849

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 Bhupesh Rathod's NPI number?

The NPI number for Bhupesh Rathod is 1699077263. It was assigned to this individual provider in the NPPES registry on December 2, 2010.

Where is Bhupesh Rathod located?

Bhupesh Rathod practices at 1455 Battersby Ave, Enumclaw, WA 98022. The listed phone number is (253) 426-6341.

What is Bhupesh Rathod's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Bhupesh Rathod enrolled in Medicare?

Yes. Bhupesh Rathod 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 organizations bill Medicare for Bhupesh Rathod's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhupesh Rathod reassigns Medicare benefits to 5 organizations: Multicare Health System (Covington, WA), South Sound Inpatient Physicians PLLC (Auburn, WA), Franciscan Medical Group (Tacoma, WA), Valley Medical Group-Renton (Renton, WA) and Virginia Mason Medical Center (Seattle, WA). Each 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 Bhupesh Rathod's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bhupesh Rathod accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Bhupesh Rathod 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 Bhupesh Rathod affiliated with any hospitals?

According to CMS data, Bhupesh Rathod is affiliated with St Clare Hospital, Valley Medical Center and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Bhupesh Rathod was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.