RAJ PRASHANT PATEL MD
NPI 1851973119
Ophthalmology in Seattle, WA

Active since April 26, 2021PECOS EnrolledAccepts Medicare Assignment
325 9TH AVE, SEATTLE, WA 98104(206) 520-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Apr 26, 2021 (2 updates tracked since 2021).

About Raj Prashant Patel Md NPPES

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

RAJ PRASHANT PATEL MD (NPI 1851973119) is an individual ophthalmology provider in Seattle, Washington, licensed in Washington (MD.MD.70096826) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851973119
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRAJ PRASHANT PATELCredential: MD
Location Address325 9TH AVESeattle, WA 98104-2420
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 26, 2021
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1851973119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WA · MD.MD.70096826
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
325 9TH AVE, Seattle, WA 98104

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

Raj Prashant Patel 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 ID4082094859
PECOS Enrollment IDI20260527001161
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 Reassignment

Medicare enrollment records show Raj Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 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.

Hospital Affiliations CMS Care Compare

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

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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.

Nurse Practitioner (Acute Care)
325 9TH AVE
SEATTLE, WA 98104
Physical Therapist
325 9TH AVE, BOX 359920
SEATTLE, WA 98104
Pharmacist
325 9TH AVE, MAILSTOP 359912
SEATTLE, WA 98104
Social Worker (Clinical)
325 9TH AVE, BOX 359760
SEATTLE, WA 98104
Physician Assistant (Medical)
325 9TH AVE
SEATTLE, WA 98104
Physical Therapist
325 9TH AVE
SEATTLE, WA 98104
Internal Medicine (Infectious Disease)
325 9TH AVE
SEATTLE, WA 98104
Occupational Therapist
325 9TH AVE
SEATTLE, WA 98104

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 Raj Patel's NPI number?

The NPI number for Raj Patel is 1851973119. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Raj Patel located?

Raj Patel practices at 325 9th Ave, Seattle, WA 98104. The listed phone number is (206) 520-5000.

What is Raj Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Raj Patel enrolled in Medicare?

Yes. Raj Patel 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 organization bills Medicare for Raj Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raj Patel reassigns Medicare benefits to The Association Of University Physicians (Seattle, WA). The 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 Raj Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raj Patel accept?

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

According to CMS data, Raj Patel is affiliated with Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Raj Patel was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.