RESHMA HITESH PATEL D.O.
NPI 1922560812
Family Medicine in Redmond, WA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
16255 NE 87TH ST STE 150, REDMOND, WA 98052(425) 882-1697(425) 885-4179 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2024, Jun 17, 2019, Apr 1, 2019 (3 updates tracked since 2019).

About Reshma Hitesh Patel D.o. NPPES

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

RESHMA HITESH PATEL D.O. (NPI 1922560812) is an individual family medicine provider in Redmond, Washington, licensed in Washington (OP61251789) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Multicare Auburn Medical Center, and maintains a secondary practice location in Burien.

NPPES Registry Identity

NPI1922560812
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRESHMA HITESH PATELCredential: D.O.
Location Address16255 NE 87TH ST STE 150Redmond, WA 98052-7464
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566
Fax(425) 885-4179
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateJanuary 23, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
NPI 1922560812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WA · OP61251789 Licensed in IL · 125.074784
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.
16255 NE 87TH ST STE 150, Redmond, WA 98052

Secondary Practice Location 1

Location 116045 1st Ave S Fl 1Burien, WA 98148-1401 · Phone (206) 965-4100 · Fax (206) 965-4119

Other Identifiers 1

Medicaid2206290WA

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

Reshma Hitesh Patel 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 ID4587043609
PECOS Enrollment IDI20220621001699
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.

Hospital Affiliations CMS Care Compare

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

Multicare Auburn Medical Center

Acute Care Hospitals · Auburn, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500015
Location202 North Division Street Plaza OneAuburn, WA 98001 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98052 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.

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

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.

Psychologist
16255 NE 87TH ST STE 150
REDMOND, WA 98052
Family Medicine
16255 NE 87TH ST STE 150
REDMOND, WA 98052
Family Medicine
16255 NE 87TH ST STE 150
REDMOND, WA 98052
Dentist
16255 NE 87TH ST STE 150
REDMOND, WA 98052
Nurse Practitioner
16255 NE 87TH ST STE 150
REDMOND, WA 98052
Dentist
16255 NE 87TH ST STE 150
REDMOND, WA 98052
Naturopath
16255 NE 87TH ST STE 150
REDMOND, WA 98052
Pediatrics
16255 NE 87TH ST STE 150
REDMOND, WA 98052

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 Reshma Patel's NPI number?

The NPI number for Reshma Patel is 1922560812. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Reshma Patel located?

Reshma Patel practices at 16255 NE 87th St Ste 150, Redmond, WA 98052. The listed phone number is (425) 882-1697.

What is Reshma Patel's specialty?

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

Is Reshma Patel enrolled in Medicare?

Yes. Reshma 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.

What insurance does Reshma Patel accept?

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

According to CMS data, Reshma Patel is affiliated with Multicare Auburn Medical Center.

When was this NPI record last updated?

The NPPES record for Reshma Patel was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.