Sandip Arvind Patidar, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00044796 Issued in WA

Practice address

900 S Auburn Street
Kennewick, WA 99336-5621

Phone

(509) 586-5945

Fax

(509) 586-5178

NPI assigned

May 15, 2006

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 8

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kennewick Radiology Group PC

  • Diagnostic Radiology Physician
  • Kennewick, WA
  • NPI 1679783534
  Medicare reassignment NPD Authorized official
• Medical Oncology Associates, P.S.

  • Specialist
  • Spokane, WA
  • NPI 1215980198
  Medicare reassignment NPD
• Alvarado Radiology Group Inc, a Professional Corporation

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1760951263
  NPD (past) Authorized official
• Radiology Professional Solutions, PC

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1407929219
  NPD (past) Authorized official
• Medical Oncology Associates, PS

  • Radiation Oncology Physician
  • Spokane Valley, WA
  • NPI 1831524073
  NPD
• Cancer Institutes of Washington, PLLC

  dba Washington Hematology Oncology

  • Medical Oncology Physician
  • Yakima, WA
  • NPI 1871508564
  NPD (past)
• Kennewick Public Hospital District

  dba Kennewick General Hospital Home Health Care

  • Home Health Agency
  • Kennewick, WA
  • NPI 1184797433
  NPD (past)
• Kennewick Radiology Group PC

  • Diagnostic Radiology Physician
  • Ilwaco, WA
  • NPI 1437328085
  NPD (past)
• Imaging Healthcare Specialists Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1750498093
  NPD (past)
• Kennewick Radiology Group PC

  • Diagnostic Radiology Physician
  • Carlsbad, CA
  • NPI 1992936652
  NPD (past)
• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573

  Diagnostic Radiology

  NPD (past)
• Michael Kos MD, PS

  dba Brachy Radiation Specialists

  • Radiation Oncology Physician
  • Lewiston, ID
  • NPI 1528735917
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1063463784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1441",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791051441",
            "telephone_number": "866-972-9247",
            "fax_number": "509-586-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S AUBURN STREET",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365621",
            "telephone_number": "509-586-5945",
            "fax_number": "509-586-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIDAR",
        "first_name": "SANDIP",
        "middle_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00044796",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A84061",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "50536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8434086",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TX",
            "identifier": "8W0413",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A840610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF CO",
            "identifier": "1063463784",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155584903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7660338",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29527261",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00438460",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Tyler Parsons, DPT
• Kelsie D Parvinen, LMP
• Susan F, Pascual, ARNP
• Jason Todd Paslean, NP
• Arunbhai Patel, MD
• Telia Kira Water Patterson
• Paul Parish Limited
• Edith Paulson
• Kevin Paulson
• Jozef William Pavnica, MD

• Diagnostic Radiology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.