DR. PARTHA GONAVARAM (MD) – Family Medicine Physician, NPI 1053473090

DR. PARTHA GONAVARAM (MD) is a healthcare provider. based in Lakewood, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00047232 (WA). The NPI Number for DR. PARTHA GONAVARAM (MD) is 1053473090

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. PARTHA GONAVARAM (MD)
NPI
1053473090
Phone
(253) 589-7030
Address
10510 Gravelly Lake Dr SW
Enumeration Date
15 December 2006
Last Update Date
13 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144568068
Graduation Year
1997 (29 years ago)
PAC ID
1951403955
Group Practice PAC ID
3779689518
Professional Enrollment ID
I20211110002233
Address ID
CA928683201OR101XXSXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. PARTHA GONAVARAM (MD)

  • 10510 Gravelly Lake Dr SW

    Lakewood, WA 984995036

    Phone: (253) 589-7030

    Fax: (253) 589-7033

    Type: Location

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-2986

    Type: Mailing

  • 1 MEDICAL PLAZA DRIVE

    IRVINE, CA 926975036

    Phone: (949) 824-8600

    Type: Location

  • 1019, Pacific Avenue, G Street Neighborhood, Tacoma, Pierce County, Washington, 98402, United States

    STE. 300

    TACOMA, WA 984024443

    Phone: (253) 722-1556

    Fax: (253) 597-4556

    Type: Mailing

  • 10510, Gravelly Lake Drive Southwest, Clover Park, Lakewood, Pierce County, Washington, 98499, United States

    LAKEWOOD, WA 984995036

    Phone: (253) 589-7030

    Fax: (253) 589-7033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211110002233IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15643$0
99214Established patient office or other outpatient visit, 30-39 minutes14997$0
99213Established patient office or other outpatient visit, 20-29 minutes4238$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3835$0
99239Hospital discharge day management, more than 30 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 98499)

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Provider's Procedures

DR. PARTHA GONAVARAM (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA85610Blood test, clotting time11018

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779689518View full group profile
NameSpecialtyState
Clinical PsychologistCA
Internal Medicine, Geriatric MedicineCA
Family Practice, Geriatric MedicineCA
Family PracticeCA
Geriatric Medicine, Family PracticeCA
Family Practice, Sports MedicineCA
-CA
Family PracticeCA
Family PracticeCA
Family PracticeCA

Reviews

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Frequently asked questions

What is the registry number for DR. PARTHA GONAVARAM (MD)?
The registry entry for DR. PARTHA GONAVARAM (MD) shows NPI 1053473090.
Is DR. PARTHA GONAVARAM (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. PARTHA GONAVARAM (MD) as active.
What does the directory say DR. PARTHA GONAVARAM (MD) does?
Insurance directories may phrase it differently, but here DR. PARTHA GONAVARAM (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. PARTHA GONAVARAM (MD)?
DR. PARTHA GONAVARAM (MD) shows a connection to Lakewood, Washington in registry-derived data.
Who maintains DR. PARTHA GONAVARAM (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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