DR. RUCHI THANAWALA MD
NPI 1992979645
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Springfield, MA

Active since April 14, 2008PECOS EnrolledAccepts Medicare Assignment
88.79/100
CMS Quality Rating
BAYSTATE MEDICAL CENTER, 759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-0000 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2022, Oct 9, 2020 (2 updates tracked since 2020).

About Dr. Ruchi Thanawala Md NPPES

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

DR. RUCHI THANAWALA MD (NPI 1992979645) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Springfield, Massachusetts, licensed in Oregon (MD201559) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992979645
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameDR. RUCHI THANAWALACredential: MD
Location AddressBAYSTATE MEDICAL CENTER, 759 CHESTNUT STSpringfield, MA 01199-0001
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3098 · (503) 494-7820 · Fax (503) 494-7829
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 14, 2008
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
NPI 1992979645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in OR · MD201559 Licensed in WA · MD61258693
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License MD61258693 (WA)
BAYSTATE MEDICAL CENTER, Springfield, MA 01199

Other Names 1

Other Name (5)Dr. Ruchi Thanawala Md, Ms

Secondary Practice Locations 2

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3098 · Phone (503) 494-7820 · Fax (503) 494-7829
Location 2200 NE Mother Joseph Pl Ste 320Vancouver, WA 98664-3205 · Phone (360) 514-6300 · Fax (360) 514-6301

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

Dr. Ruchi Thanawala 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 ID941522304
PECOS Enrollment IDI20201125002289, I20220921000956
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

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.

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.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01199 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

88.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.8
Promoting Interoperability100
Improvement Activities40
Cost64.75

Other Providers at the Same Location NPPES 12

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
BAYSTATE MEDICAL CENTER, 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER
SPRINGFIELD, MA 01199
Anesthesiology
BAYSTATE MEDICAL CENTER
SPRINGFIELD, MA 01199
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER, 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER
SPRINGFIELD, MA 01199
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER
SPRINGFIELD, MA 01199
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER
SPRINGFIELD, MA 01199
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER, 759 CHESTNUT STREET
SPRINGFIELD, MA 01199

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 Ruchi Thanawala's NPI number?

The NPI number for Ruchi Thanawala is 1992979645. It was assigned to this individual provider in the NPPES registry on April 14, 2008. The provider is also known as Dr. Ruchi Thanawala MD, Ms.

Where is Ruchi Thanawala located?

Ruchi Thanawala practices at Baystate Medical Center 759 Chestnut St, Springfield, MA 01199. The listed phone number is (413) 794-0000.

What is Ruchi Thanawala's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Ruchi Thanawala enrolled in Medicare?

Yes. Ruchi Thanawala 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 Ruchi Thanawala accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Ruchi Thanawala 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 Ruchi Thanawala affiliated with any hospitals?

According to CMS data, Ruchi Thanawala is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Ruchi Thanawala was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.