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SIRISHA SESHAM MD
NPI 1790718633
Internal Medicine in Spokane, WA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
801 W 5TH AVE, SUITE 301, SPOKANE, WA 99204(509) 473-3633(509) 473-3634 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sirisha Sesham Md NPPES

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

SIRISHA SESHAM MD (NPI 1790718633) is an individual internal medicine provider in Spokane, Washington, licensed in Washington (MD00046558) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1790718633
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSIRISHA SESHAMCredential: MD
Location Address801 W 5TH AVE, SUITE 301Spokane, WA 99204-2823
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (509) 838-2531
Phone(509) 473-3633
Fax(509) 473-3634
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 3, 2019
✔ NPI 1790718633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD00046558
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.
801 W 5TH AVE, Spokane, WA 99204
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Other Identifiers 1

Medicaid8462475WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Sirisha Sesham 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 ID5092711754
PECOS Enrollment IDI20061020000117
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.

Areas of Expertise CMS Part B claims 6

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.
334 services134 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.
119 services115 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.
117 services30 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.
58 services40 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.
46 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500044
LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County
Emergency services Birthing friendly

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500119
Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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%255 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 3

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 supplier22 claims22 services$17.51 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims16 services$5.97 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$88.71 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.

SPOKANE AUDIOLOGY CLINIC, INC.
Audiologist
801 W 5TH AVE, DMOB SUITE 112
SPOKANE, WA 99204
Spokane County (509) 835-5111
GERALD L GATES MD PS
Surgery
801 W 5TH AVE, SUITE 405
SPOKANE, WA 99204
Spokane County (509) 747-2112
DR. ALLAN CHRISTOPHER HELLER M.D.
Neurological Surgery
801 W 5TH AVE, SUITE #525
SPOKANE, WA 99204
Spokane County (509) 838-2531
JANETTE M WORLEY ARNP
Nurse Practitioner (Family)
801 W 5TH AVE, SUITE 510
SPOKANE, WA 99204
Spokane County (509) 838-2531
JOAN FRANCES CORKEY-O'HARE ARNP
Nurse Practitioner
801 W 5TH AVE, SUITE 323
SPOKANE, WA 99204
Spokane County (509) 838-2960
MS. RONDA K KASPER-BRAITHWAITE AUD MA
Audiologist
801 W 5TH AVE, SUITE 205
SPOKANE, WA 99204
Spokane County (509) 838-2531
STEVEN WOO HONG M.D.
Internal Medicine (Gastroenterology)
801 W 5TH AVE, SUITE 622
SPOKANE, WA 99204
Spokane County (509) 747-5145
DONALD B. CANADAY MD
Internal Medicine (Interventional Cardiology)
801 W 5TH AVE, SUITE 900
SPOKANE, WA 99204
Spokane County (509) 838-2531

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 Sirisha Sesham's NPI number?

The NPI number for Sirisha Sesham is 1790718633. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Sirisha Sesham located?

Sirisha Sesham practices at 801 W 5th Ave Suite 301, Spokane, WA 99204. The listed phone number is (509) 473-3633.

What is Sirisha Sesham's specialty?

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

Is Sirisha Sesham enrolled in Medicare?

Yes. Sirisha Sesham 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.

What insurance does Sirisha Sesham accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Sirisha Sesham 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 Sirisha Sesham affiliated with any hospitals?

According to CMS data, Sirisha Sesham is affiliated with Deaconess Medical Center and Multicare Valley Hospital.

When was this NPI record last updated?

The NPPES record for Sirisha Sesham was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.