Individual provider Active NPI

Sidakpal Singh Panaich, MD

  • Interventional Cardiology Physician
  • Seattle, WA
National Provider Identifier
1194955641
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD61325049 Issued in WA
Practice address
550 17TH Ave FL 6
Seattle, WA 98122-5788
Phone
(206) 215-4545
Fax
(206) 215-4550
NPI assigned
Jul 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD61325049 WA
Cardiovascular Disease Physician 207RC0000X MD61325049 WA
Interventional Cardiology Physician 207RI0011X MD61325049 WA Primary

Addresses

Primary practice location

550 17TH Ave FL 6
Seattle, WA 98122-5788

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
2224193MedicaidWA

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
I20221012000425 WA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8022326420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 7517870645, 79 clinicians

Practice addresses (Care Compare)

550 17TH Ave
FL 6
Seattle, WA 98122-5788
Phone (206) 861-8550

Hospital & facility affiliations

  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Highline Medical Center Hospital, Burien, WA, CCN 500011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting74
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jan 29, 2024 Accepting new patients
Providence Health & Services - Washington Internal Medicine CurrentSince Jan 29, 2024 Accepting new patients
Swedish Health Services Cardiovascular Disease CurrentSince Oct 10, 2022 Accepting new patients
Swedish Health Services Cardiovascular Disease CurrentSince Oct 10, 2022 Accepting new patients
Swedish Health Services Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

12917 SE 38th St
Ste 100
Bellevue, WA 98006
Phone (206) 292-7990

7320 216th St SW
Ste 210
Edmonds, WA 98026
Phone (206) 292-7990

1330 Rockefeller Ave
Ste 310
Everett, WA 98201
Phone (425) 261-4925

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

550 17th Ave
Fl 6
Seattle, WA 98122

Interoperability endpoints

  • Direct secure messaging: spanaich312274@direct.hfhs.org
  • Direct secure messaging: spanaich2513934@wm.providencedirect.org

Organizations & group practices 6

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

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": "1247875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1194955641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE FL 6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225788",
            "telephone_number": "206-215-4545",
            "fax_number": "206-215-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAICH",
        "first_name": "SIDAKPAL",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61325049",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD61325049",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD61325049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2224193",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.