Raj Penumetsa, MD in Portland, OR - Medicare Family Practice

Raj Penumetsa, MD is a medicare enrolled "Family Medicine" physician in Portland, Oregon. He graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Pacific County Hospital District 2, Usacs Observation Medicine Services Of Oklahoma, Llc and his current practice location is 1225 Ne 2nd Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 944-8000.

Raj Penumetsa is licensed to practice in Oregon (license number MD220293) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952667974.

Contact Information

	Raj Penumetsa, MD
	1225 Ne 2nd Ave, Portland, OR 97232-2003
	(503) 944-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Raj Penumetsa
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	1225 Ne 2nd Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Raj Penumetsa graduated from medical school in 2007

NPI Data:

NPI Number: 1952667974
Provider Enumeration Date: 04/03/2012
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3678873288
Enrollment ID: I20170628001970

Medical Identifiers

Medical identifiers for Raj Penumetsa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952667974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	U9769 (Texas)	Secondary
208M00000X	Hospitalist	35.126661 (Ohio)	Secondary
207Q00000X	Family Medicine	MD220293 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Summit Pacific Medical Center-swing Bed Unit	Elma, WA	Hospital
St John Owasso	Owasso, OK	Hospital
Ascension Seton Edgar B Davis	Luling, TX	Hospital
Willapa Harbor Hospital	South bend, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacific County Hospital District 2	8224939301	22
Usacs Observation Medicine Services Of Oklahoma, Llc	9931562956	142

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Raj Penumetsa allows following entities to bill medicare on his behalf.

Entity Name	South Sound Inpatient Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668

Entity Name	Grays Harbor County Public Hospital District No 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146

Entity Name	Pacific County Hospital District 2
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295708683 PECOS PAC ID: 8224939301 Enrollment ID: O20040120000991

Entity Name	Cogent Healthcare Of Washington, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raj Penumetsa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Raj Penumetsa, MD 2750 Pickle Rd Apt 11, Oregon, OH 43616-3935 Ph: (567) 277-0342	Raj Penumetsa, MD 1225 Ne 2nd Ave, Portland, OR 97232-2003 Ph: (503) 944-8000

Reviews and Comments

Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779

Raj Penumetsa, MD - Medicare Family Practice in Portland, OR