Internal Medicine in Bellevue, WA


Neetilekha Choudhury is an internist established in Bellevue, Washington and her medical specialization is Internal Medicine with more than 37 years of experience. The NPI number of this provider is 1962587766 and was assigned on October 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD00042187 (WA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

Location Address13231 SE 36TH ST STE 110 BELLEVUE, WA 98006
Location Phone(425) 957-9000
Mailing AddressPO BOX 50095 SEATTLE, WA 98145
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1986
Is Sole Proprietor?No
Enumeration Date10-27-2006
Last Update Date08-21-2012

An internist like Neetilekha Choudhury is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Neetilekha Choudhury is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Neetilekha Choudhury is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $37.04 for a new patient copayment and $28.8 for an established patient copayment.

Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD00042187
License StateWA
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

13231 SE 36TH ST STE 110
ZIP 98006
Phone: (425) 957-9000

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Mailing Address

PO BOX 50095
ZIP 98145
Phone: (206) 543-6420

Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7618956822
PECOS Enrollment IDI20040720000146
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 98006 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$65.5 $195.25 $148.16
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.37 $48.81 $37.04
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.08 $160.18 $115.21
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.27 $40.04 $28.8

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 95.7
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 72
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 89.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 111Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 98Administration of pneumococcal vaccine (HCPCS:G0009)
  • 92Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 84Hemoglobin A1C level (HCPCS:83036)
  • 79Administration of influenza virus vaccine (HCPCS:G0008)
  • 59Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 58Automated urinalysis test (HCPCS:81003)
  • 20Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 12X-ray of chest, 2 views, front and side (HCPCS:71020)

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8881858MEDICARE PIN (08)WA
0174976OTHER (01)WAL&I
1962587766MEDICAID (05)WA

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 0 + 8 + 1 + 4 + 7 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1962587766 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
Physician Assistant (Medical)13231 SE 36TH ST STE 110
(425) 957-9000
1629153440 JANET H PIEHL
Family Medicine13231 SE 36TH ST STE 110
(425) 957-9000
Family Medicine13231 SE 36TH ST STE 110
(425) 957-9000
Family Medicine13231 SE 36TH ST STE 110
(425) 957-9000
1386729119 PAMELA MEI YUNG
Family Medicine13231 SE 36TH ST STE 110
(425) 957-9000
1548346711 DIANA J. KAO M.D.
Family Medicine13231 SE 36TH ST STE 110
(425) 957-9000
Family Medicine13231 SE 36TH ST STE 110
(425) 957-9000
1750510608 TRICIA NIELSEN D.O.
Family Medicine13231 SE 36TH ST STE 110
(425) 957-9000
Social Worker (Clinical)13231 SE 36TH ST STE 110
(425) 957-9000
Nurse Practitioner (Family)13231 SE 36TH ST STE 110
(206) 520-5000
Nurse Practitioner (Adult Health)13231 SE 36TH ST STE 110
(206) 520-5000
Dietitian, Registered13231 SE 36TH ST STE 110
(206) 520-5000

Frequently Asked Questions

What is Neetilekha Choudhury NPI number?

The NPI number assigned to this healthcare provider is 1962587766, registered as an "individual" on October 27, 2006

Where is Neetilekha Choudhury located?

The provider is located at 13231 Se 36th St Ste 110 Bellevue, Wa 98006 and the phone number is (425) 957-9000

Which is Neetilekha Choudhury specialty?

The provider's speciality is Internal Medicine

How many years of experience does Neetilekha Choudhury have?

The provider has more than 37 years of experience.

What insurance does Neetilekha Choudhury accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Neetilekha Choudhury registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Neetilekha Choudhury Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

How much is a visit to Neetilekha Choudhury ?

Medicare beneficiaries should expect a typical cost of $148.16 with an average copayment of $37.04 for new patient appointments. Established patients should expect a typical charge of $115.21 and an average copayment of 28.8. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Neetilekha Choudhury ?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Administration of pneumococcal vaccine, Pneumococcal vaccine for injection into muscle, Hemoglobin A1C level, Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Automated urinalysis test, Routine EKG using at least 12 leads including interpretation and report and X-ray of chest, 2 views, front and side.

How do I update my NPI information?

The NPI record of Neetilekha Choudhury was last updated on October 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]