DR. RAVINDER SAMRA (MD) – Obstetrics & Gynecology Physician, NPI 1861475915

DR. RAVINDER SAMRA (MD) is a healthcare provider. based in Renton, Washington. specializing in OBSTETRICS/GYNECOLOGY, HOSPITALIST. They hold the professional credentials MD. They hold a License No. MD00046983 (WA). The NPI Number for DR. RAVINDER SAMRA (MD) is 1861475915

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAVINDER SAMRA (MD)
NPI
1861475915
Phone
(425) 690-1000
Address
400 S 43rd St
Enumeration Date
22 November 2005
Last Update Date
31 October 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4252283450
Graduation Year
1994 (32 years ago)
PAC ID
8325139249
Group Practice PAC ID
4183753965
Professional Enrollment ID
I20070807000650
Address ID
WA980555714RE400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,037 OBSTETRICS/GYNECOLOGY in WA

Provider Addresses for DR. RAVINDER SAMRA (MD)

  • 400 S 43rd St

    Renton, WA 980555714

    Phone: (425) 690-1000

    Type: Location

  • 520, 4th Avenue, Pasco, Franklin County, Washington, 99301, United States

    PASCO, WA 993015257

    Phone: (509) 547-7704

    Type: Mailing

  • Wrigley Drive, Pasco, Franklin County, Washington, United States

    SUITE 206

    PASCO, WA 993015292

    Phone: (509) 546-8400

    Fax: (509) 546-8391

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($113).

Total Amount

$370

General + Research + Ownership

Payments

13

Total payment records

General Amount

$370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070807000650IObstetrics/GynecologyWATBD
I20260306001204IObstetrics/GynecologyORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98055)

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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: 4183753965View full group profile
NameSpecialtyState
Family PracticeWA
Physical Therapist In Private PracticeWA
Internal Medicine, HospitalistWA
P S Y C H I A T R YWA
Hospice/Palliative Care, Internal MedicineWA
Internal Medicine, HospitalistCA
Family PracticeWA
Family Practice, Emergency MedicineWA
-WA
-WA

Reviews

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Frequently asked questions

What is the registry number for DR. RAVINDER SAMRA (MD)?
The registry entry for DR. RAVINDER SAMRA (MD) shows NPI 1861475915.
Does the public listing show DR. RAVINDER SAMRA (MD) as active?
DR. RAVINDER SAMRA (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. RAVINDER SAMRA (MD)'s listing?
DR. RAVINDER SAMRA (MD)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. RAVINDER SAMRA (MD)?
DR. RAVINDER SAMRA (MD) is associated with Renton, Washington in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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