DINESH THEKKE KARUMATHIL MD
NPI 1578753802
Pediatrics in Seattle, WA
NPI Status: Active since August 01, 2007
Contact Information
1101 MADISON ST STE 800
SEATTLE, WA
ZIP 98104
Phone: (206) 215-2700
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About DINESH THEKKE KARUMATHIL
This page provides the complete NPI Profile along with additional information for Dinesh Thekke Karumathil, a pediatrician established in Seattle, Washington with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1578753802 assigned on August 2007. The practitioner's primary taxonomy code is 208000000X with license number 60070930 (WA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1578753802
- Provider Name
- DINESH THEKKE KARUMATHIL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1101 MADISON ST STE 800 SEATTLE, WA 98104
- Location Phone
- (206) 215-2700
- Mailing Address
- 1101 MADISON ST STE 800 SEATTLE, WA 98104
- Mailing Phone
- (206) 215-2700
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-01-2007
- Last Update Date
- 11-08-2009
- Code Navigator
A pediatrician like Dinesh Thekke Karumathil is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 60070930
- License State
- WA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Dinesh Thekke Karumathil is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.43
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $24.35
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $27.75
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 7 | 5 | 3 | 8 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 14 | 5 | 6 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 4 + 5 + 6 + 8 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1578753802 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235200239 | GREGORY K. SORENSEN MD Individual | Pediatrics | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1053482059 | THOMAS N. SWANSON MD Individual | Pediatrics | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1164531497 | DR. MICHAEL CAROLL SHANNON MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 1101 MADISON ST STE 800 SWEDISH PEDIATRIC SPECIALTY CARE SEATTLE, WA 98104 (206) 215-2700 |
| 1275599631 | DR. JOHN PILGRIM OSBORN M.D. Individual | Pediatrics (Pediatric Pulmonology) | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1073064473 | MRS. BRYNN FULLER MS ATC Individual | Specialist/Technologist (Athletic Trainer) | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 316-3083 |
| 1265722789 | RANITA SANA PATEL MD Individual | Pediatrics (Pediatric Nephrology) | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1841374568 | LAUREL M SALIMAN MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1144391145 | LAURIE S. FOUSER MD Individual | Transplant Surgery | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1376787366 | DR. RICHY LEE MD Individual | Surgery (Pediatric Surgery) | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1225388440 | JULIA CHAN CPNP Individual | Nurse Practitioner (Pediatrics) | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1427624816 | JORDAN LEE BIERMAN RD Individual | Dietitian, Registered | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1902034028 | DR. CINDY CHUNSHIN TAI MD Individual | Surgery (Pediatric Surgery) | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1558788976 | TALYA LEPOW MILLER MD Individual | Pediatrics (Pediatric Gastroenterology) | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
| 1154042695 | MR. DANIEL PATRICIO MENDEZ Individual | Registered Nurse | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (205) 215-2700 |
| 1265826499 | MELISSA JOY STEARNS PA-C Individual | Physician Assistant | 1101 MADISON ST STE 800 SEATTLE, WA 98104 (206) 215-2700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578753802, enumerated in the NPI registry as an "individual" on August 01, 2007
The provider is located at 1101 Madison St Ste 800 Seattle, Wa 98104 and the phone number is (206) 215-2700
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $97.43 with an average copayment of $24.35 for new patient appointments. Established patients should expect a typical charge of $111 and an average copayment of 27.75. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.