DR. PRATHYUSHA NAIDU D.O
NPI 1700272028
Internal Medicine in Olympia, WA

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502(360) 704-4743(360) 704-4751 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2018, Feb 6, 2017 (2 updates tracked since 2017).

About Dr. Prathyusha Naidu D.o NPPES

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

DR. PRATHYUSHA NAIDU D.O (NPI 1700272028) is an individual internal medicine provider in Olympia, Washington, licensed in Washington (OP60880172) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and maintains a secondary practice location in Oak Lawn.

NPPES Registry Identity

NPI1700272028
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRATHYUSHA NAIDUCredential: D.O
Location Address3900 CAPITAL MALL DR SWOlympia, WA 98502
Mailing Address124 1st Ave S Ste 200Franklin, TN 37064-6326 · (567) 970-4824
Fax(360) 704-4751
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 13, 2015
Last NPPES UpdateAugust 2, 20182 updates tracked since enumeration
✔ NPI 1700272028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · OP60880172
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3900 CAPITAL MALL DR SW, Olympia, WA 98502

Secondary Practice Location 1

Location 14440 W 95th StOak Lawn, IL 60453-2600 · Phone (708) 684-5673

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

Dr. Prathyusha Naidu D.o 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 ID1254641376
PECOS Enrollment IDI20180926003183
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

2

Medicare enrollment records show Prathyusha Naidu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Medicine
3900 CAPITOL MALL DR SW
Olympia, WA 98502
  • Reassigned Medicare billing, Washington enrollment
  • 220 clinicians in this Medicare group
Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 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.

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.
448 services184 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.
115 services111 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.
109 services105 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.
92 services48 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
62 services62 patients

Hospital Affiliations CMS Care Compare 4

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

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County
Emergency services Birthing friendly

Willapa Harbor Hospital

Critical Access Hospitals · South Bend, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501303
Location800 Alder StreetSouth Bend, WA 98586 · Pacific County
Emergency services

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501304
Location600 East Main StreetElma, WA 98541 · Grays Harbor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98502 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%109 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$17.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$94.51 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.

Anesthesiology
3900 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Pharmacist
3900 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Nurse Anesthetist, Certified Registered
3900 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Emergency Medicine
3900 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Nurse Practitioner (Neonatal)
3900 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Internal Medicine
3900 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Nurse Anesthetist, Certified Registered
3900 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3900 CAPITAL MALL DR SW
OLYMPIA, WA 98502

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 Prathyusha Naidu's NPI number?

The NPI number for Prathyusha Naidu is 1700272028. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Prathyusha Naidu located?

Prathyusha Naidu practices at 3900 Capital Mall Dr SW, Olympia, WA 98502. The listed phone number is (360) 704-4743.

What is Prathyusha Naidu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prathyusha Naidu enrolled in Medicare?

Yes. Prathyusha Naidu 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 Prathyusha Naidu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prathyusha Naidu reassigns Medicare benefits to 2 organizations: Capital Medical Center Specialty Physicians, LLC (Olympia, WA) and Multicare Health System (Olympia, 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 Prathyusha Naidu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prathyusha Naidu accept?

Health plans from Providence Health Plan list Prathyusha Naidu 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 Prathyusha Naidu affiliated with any hospitals?

According to CMS data, Prathyusha Naidu is affiliated with Tacoma General Allenmore Hospital, Capital Medical Center, Willapa Harbor Hospital and Summit Pacific Medical Center.

When was this NPI record last updated?

The NPPES record for Prathyusha Naidu was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.