Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1215907027 Deactivated / Inactive NPI Female Practitioner

Dr. Prema K Raghu , MD

Specialist • Shoreline, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Prema Raghu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 24, 2006
NPI Deactivation Date November 01, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Prema Raghu, MD was a registered Specialist practicing in Shoreline, WA. Throughout an active medical career spanning 17 years, Dr. Raghu provided care at the practice location at 355 NW RICHMOND BEACH RD until profile deactivation on 2023-11-01.

Historical Medicare Part B clinical services included established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

355 Nw Richmond Beach Rd

Shoreline, WA 981773101

Telephone 2065465181
Fax 2065466575
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Shoreline, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
27 Specialists

Practicing in Shoreline, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
220 62 $85.00 $53.95
11042 Removal of skin and tissue, 20.0 sq cm or less
108 34 $120.00 $66.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
39 39 $300.00 $136.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
23 20 $169.00 $114.70

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA 19417

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Suzanne Bladek , APRN, BC

Nurse Practitioner - Adult Health

NPI 1033218797

Advanced Practice Registered Nurse, BC

Dr. Kathryn Zufall , MD

Internal Medicine

NPI 1144204777

Doctor of Medicine (M.D.)

Dr. John Verrilli , MD

Internal Medicine

NPI 1467448118

Doctor of Medicine (M.D.)

Dr. Thomas Merritt , MD

Internal Medicine

NPI 1649319419

Doctor of Medicine (M.D.)

Dr. Joel Hagedorn , MD

Internal Medicine

NPI 1922083559

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

NPI Profile Active April 05, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 05, 2010

Registered at 355 NW RICHMOND BEACH RD, SHORELINE, WA 981773101 (Tel: 2065465181)

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Updated Business Mailing Address April 05, 2010

Registered at 355 NW RICHMOND BEACH RD, SHORELINE, WA 981773101 (Tel: 2065465181)

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Provider Name / Credentials Updated April 05, 2010

Recorded as PREMA RAGHU, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2010

Specialist (License #19417 in WA)

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Initial NPI Registration & Enumeration January 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215907027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2006
Last Update: April 05, 2010
Deactivation Date: November 01, 2023

Mailing Address

355 Nw Richmond Beach Rd

Shoreline, WA 981773101

Phone: 2065465181

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.