Individual provider Active NPI

Nandakumar Patnam Gopal Chetty, MD

  • Nuclear Medicine Physician
  • Seattle, WA
National Provider Identifier
1205689536
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
FE.61538118 Issued in WA
Practice address
1959 NE Pacific St Box 357233
Seattle, WA 98195-7233
Phone
(206) 744-3561
NPI assigned
Apr 8, 2024
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X FE.61538118 WA Primary

Addresses

Primary practice location

1959 NE Pacific St Box 357233
Seattle, WA 98195-7233

Mailing address

1959 NE Pacific St Box 357233
Seattle, WA 98195-7233
Phone (206) 744-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1205689536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST BOX 357233",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957233",
            "telephone_number": "206-744-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST BOX 357233",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957233",
            "telephone_number": "206-744-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNAM GOPAL CHETTY",
        "first_name": "NANDAKUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "WA",
            "license": "FE.61538118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.