Organization Active NPI

Koala Pediatrics PLLC

  • Pediatrics Physician
  • Bellevue, WA
National Provider Identifier
1205628484
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KOALA PEDIATRICS PLLC
Practice address
14655 NE Bel Red Rd Ste 201
Bellevue, WA 98007-3900
Phone
(650) 933-7151
Fax
(920) 214-1221
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Priyanka Kawali, MDNPI 1467803528
Title
Owner
Phone
(206) 761-4985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

14655 NE Bel Red Rd Ste 201
Bellevue, WA 98007-3900

Mailing address

14655 NE Bel Red Rd Ste 201
Bellevue, WA 98007-3900
Phone (206) 761-4985

Other names 1

  • PEDSRUS LLC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2329640Koala Pediatrics14655 NE Bel Red Rd Ste 201, Bellevue, WA 98007Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

14655 NE Bel Red Rd
Ste 201
Bellevue, WA 98007
Phone (206) 761-4985

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1205628484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14655 NE BEL RED RD STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073900",
            "telephone_number": "206-761-4985",
            "fax_number": "920-214-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14655 NE BEL RED RD STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073900",
            "telephone_number": "650-933-7151",
            "fax_number": "920-214-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOALA PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "KAWALI",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-761-4985",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDSRUS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.