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

  1. Home
  2. Hospitalist
  3. OR
  4. Portland
Raj Penumetsa, MD is a medicare enrolled "Hospitalist" 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 Yakima Valley Memorial Physicians, Good Samaritan Hospital Corvallis, Grays Harbor County Public Hospital District No 1 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 Washington (license number MD60574515) 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 NameRaj Penumetsa
GenderMale
SpecialityFamily Practice
Experience19 Years
Location1225 Ne 2nd Ave, Portland, Oregon
Accepts Medicare AssignmentsYes. 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: 08/05/2026
  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.
IdentifierTypeStateIssuer
1952667974NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD220293 (Oregon)Secondary
207Q00000XFamily Medicine U9769 (Texas)Secondary
208M00000XHospitalist MD60574515 (Washington)Primary
208M00000XHospitalist 35.126661 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summit Pacific Medical CenterElma, WAHospital
Yakima Valley MemorialYakima, WAHospital
Good Samaritan Regional Medical CenterCorvallis, ORHospital
Summit Pacific Medical Center - Swing Bed UnitElma, WANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yakima Valley Memorial Physicians1557391596397
Good Samaritan Hospital Corvallis1557270725372
Grays Harbor County Public Hospital District No 1903201725662

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 NameSouth Sound Inpatient Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023285756
PECOS PAC ID: 5991618738
Enrollment ID: O20031107000668
Entity NameGrays Harbor County Public Hospital District No 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740211028
PECOS PAC ID: 9032017256
Enrollment ID: O20031226000146
Entity NamePacific County Hospital District 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295708683
PECOS PAC ID: 8224939301
Enrollment ID: O20040120000991
Entity NameKaiser Foundation Health Plan of the Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040220000099
Entity NameYakima Valley Memorial Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306933940
PECOS PAC ID: 1557391596
Enrollment ID: O20050818000714
Entity NamePacific County Hospital District 2
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1295708683
PECOS PAC ID: 8224939301
Enrollment ID: O20070621000674
Entity NameGrays Harbor County Public Hospital District No 1
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1740211028
PECOS PAC ID: 9032017256
Enrollment ID: O20140311001671

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 AddressPractice 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


Hospitalist Doctors in Portland, OR

Ellen B Stevenson, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 2801 N Gantenbein Ave, Department Of Pediatrics, Legacy Emanuel Hospital, Portland, OR 97227
Phone: 503-413-2402    Fax: 503-413-2566
Joel N Papak, M.D.
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 3710 Sw Us Veterans Hospital Rd, P3med, Portland, OR 97239
Phone: 503-220-8262    
Renee K Dversdal, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Bte119 Ohsu,, Portland, OR 97239
Phone: 503-494-8311    
Jacob Thomas Luty, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8211    
Hermina Kung Jeon, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4805 Ne Glisan St, Portland, OR 97213
Phone: 503-215-2392    
Mr. Lokesh Kumar Yadav, MBBS
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-6101    Fax: 503-494-1159
Jeffrey Yung,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8211    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.