GANESH RAGHU MD
NPI 1821188780
Internal Medicine - Pulmonary Disease in Seattle, WA

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 598-4615 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ganesh Raghu Md NPPES

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

GANESH RAGHU MD (NPI 1821188780) is an individual pulmonary disease provider in Seattle, Washington, licensed in Washington (MD00019416) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1821188780
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameGANESH RAGHUCredential: MD
Location AddressUNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC STSeattle, WA 98195-6166
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateOctober 13, 2006
Last NPPES UpdateNovember 20, 2012
NPI 1821188780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in WA · MD00019416
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
UNIVERSITY OF WASHINGTON MEDICAL CTR, Seattle, WA 98195

Other Identifiers 6

Other0231807WA · L&i
Other110055243WA · Railroad Medicare
Medicare UPINA05416
Other5397Internal Id-motor Vehicle Id
Medicaid1821188780WA
Medicare PIN000104354WA

Accepted 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

Ganesh Raghu 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 ID5294914206
PECOS Enrollment IDI20110124000396
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
436 services248 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
433 services254 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services114 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
45 services45 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
22 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

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

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

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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.

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

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
14 suppliers91 claims97 services$16.21 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$35.20 avg. paid by Medicare
Ultrasonic/electronic aerosol generator with small volume nebulizer E0574
DME-Other DME · category DE000N
3 suppliers14 claims14 services$33.82 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
28 suppliers363 claims363 services$73.94 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
19 suppliers236 claims236 services$32.67 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers42 claims2,859 services$0.32 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.

Internal Medicine (Hematology & Oncology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Radiology (Diagnostic Radiology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Neurological Surgery
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Internal Medicine (Cardiovascular Disease)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Medical Genetics (Clinical Genetics (M.D.))
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Internal Medicine (Hematology & Oncology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Anesthesiology
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195

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 Ganesh Raghu's NPI number?

The NPI number for Ganesh Raghu is 1821188780. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Ganesh Raghu located?

Ganesh Raghu practices at University Of Washington Medical Ctr 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 598-4615.

What is Ganesh Raghu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ganesh Raghu enrolled in Medicare?

Yes. Ganesh Raghu 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 Ganesh Raghu accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ganesh Raghu 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 Ganesh Raghu affiliated with any hospitals?

According to CMS data, Ganesh Raghu is affiliated with Skagit Valley Hospital, University Of Washington Medical Ctr, Valley Medical Center, Tacoma General Allenmore Hospital and Jefferson Healthcare.

When was this NPI record last updated?

The NPPES record for Ganesh Raghu was last updated on November 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.