Individual provider Active NPI

Arjun Chenna Reddy, MD

  • Anesthesiology Physician
  • Bellingham, WA
National Provider Identifier
1033371901
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
61243386 Issued in WA
Practice address
909 Squalicum Way Ste 102
Bellingham, WA 98225-2077
Phone
(606) 473-3773
NPI assigned
Jul 1, 2008
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 60 266653 NY
Anesthesiology Physician 207L00000X MD-17660 HI
Anesthesiology Physician 207L00000X 61243386 WA Primary

Addresses

Primary practice location

909 Squalicum Way Ste 102
Bellingham, WA 98225-2077

Mailing address

909 Squalicum Way Ste 102
Bellingham, WA 98225-2077
Phone (606) 473-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308002707 WA Practitioner - Anesthesiology 1355590134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers New Jersey Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellingham Anesthesia Associates PSGroup PAC ID 6406755990, 52 clinicians

Practice addresses (Care Compare)

909 Squalicum Way
Suite 102
Bellingham, WA 98225-2077
Phone (360) 647-3377

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60 266653NYMDAnesthesiology Physician
61243386WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Anesthesia Associates, P.S. Anesthesiology CurrentSince Mar 3, 2023 Accepting new patients

Locations

909 Squalicum Way
Ste 102
Bellingham, WA 98225
Phone (360) 647-3377

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1033371901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SQUALICUM WAY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252077",
            "telephone_number": "606-473-3773",
            "fax_number": "360-752-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SQUALICUM WAY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252077",
            "telephone_number": "606-473-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ARJUN",
        "middle_name": "CHENNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "60 266653",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD-17660",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "61243386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.