SOUMYA CHOUDHURY MD
NPI 1871117754
Family Medicine in Renton, WA

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
96.04/100
CMS Quality Rating
3915 TALBOT RD S STE 401, RENTON, WA 98055(425) 690-3445(425) 690-9445 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2021, Jun 5, 2020 (2 updates tracked since 2020).

About Soumya Choudhury Md NPPES

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

SOUMYA CHOUDHURY MD (NPI 1871117754) is an individual family medicine provider in Renton, Washington, licensed in Washington (MD61314173) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Virginia Commonwealth Univ School Of Dentistry (2020).

NPPES Registry Identity

NPI1871117754
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOUMYA CHOUDHURYCredential: MD
Location Address3915 TALBOT RD S STE 401Renton, WA 98055-5738
Mailing Address3600 Lind Ave Sw, Suite 100 Attn CredentialingRenton, WA 98057 · (425) 690-2715
Fax(425) 690-9445
Sole ProprietorNo
Medical School CMSVirginia Commonwealth Univ School Of DentistryGraduated 2020
Enumeration DateJune 5, 2020
Last NPPES UpdateJanuary 31, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
✔ NPI 1871117754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD61314173
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License ML61066886 (WA)
3915 TALBOT RD S STE 401, Renton, WA 98055

Other Identifiers 1

Medicaid2158969WA

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

Soumya Choudhury 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 ID5991128266
PECOS Enrollment IDI20231018001913
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 Soumya Choudhury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
601 S CARR RD, SUITE 100
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 291 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 3

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 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.
85 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
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.

96.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.91
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
Family Medicine
3915 TALBOT RD S STE 401
RENTON, WA 98055
Family Medicine
3915 TALBOT RD S STE 401
RENTON, WA 98055
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S STE 401
RENTON, WA 98055
Family Medicine
3915 TALBOT RD S STE 401
RENTON, WA 98055

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 Soumya Choudhury's NPI number?

The NPI number for Soumya Choudhury is 1871117754. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Soumya Choudhury located?

Soumya Choudhury practices at 3915 Talbot Rd S Ste 401, Renton, WA 98055. The listed phone number is (425) 690-3445.

What is Soumya Choudhury's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Soumya Choudhury enrolled in Medicare?

Yes. Soumya Choudhury 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 Soumya Choudhury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soumya Choudhury reassigns Medicare benefits to Pacmed Clinics (Renton, 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 Soumya Choudhury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soumya Choudhury accept?

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

According to CMS data, Soumya Choudhury is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Soumya Choudhury was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.