NPIMap

Individual provider Active NPI

Maheer Gandhavadi

  • Clinical Cardiac Electrophysiology Physician
  • Bellevue, WA
National Provider Identifier
1235305855
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD60356847 Issued in WA
Practice address
1135 116TH Ave NE Ste 600
Bellevue, WA 98004-4623
Phone
(425) 454-2656
NPI assigned
May 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A102854 CA
Internal Medicine Physician 207R00000X 238663 MA
Clinical Cardiac Electrophysiology Physician 207RC0001X A102854 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X MD60356847 WA Primary

Addresses

Primary practice location

1135 116TH Ave NE Ste 600
Bellevue, WA 98004-4623

Mailing address

1135 116TH Ave NE Ste 600
Bellevue, WA 98004-4623
Phone (425) 454-2656

Other practice location 1

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5411

Other practice location 2

3941 J St Ste 260
Sacramento, CA 95819-3633
Phone (916) 736-2323

Other practice location 3

3941 J St Ste 350
Sacramento, CA 95819-3633
Phone (916) 453-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130912000005 WA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0143408468 Reassigns benefits to 3 organizations
I20190729001482 CA Practitioner - Cardiac Electrophysiology 0143408468

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5072

12033 NE 130TH LN
Suite 120
Kirkland, WA 98034-3052
Phone (425) 899-2160

12040 NE 128TH St
Kirkland, WA 98034-3013

12040 NE 128TH St Ms
Suite 55
Kirkland, WA 98034-3013

12333 NE 130TH LN
Kirkland, WA 98034-7467

Hospital & facility affiliations

  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124
  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Fred Hutchinson Cancer Center Hospital, Seattle, WA, CCN 500138

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102854CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics LLC CurrentSince Jan 18, 2022 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Jan 1, 2022 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince Aug 26, 2013 Accepting new patients
King County Public Hospital District No 2 Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince Aug 26, 2013 Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients

Locations

1135 116th Ave NE
Ste 600
Bellevue, WA 98004
Phone (425) 454-2656

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12333 NE 130th Ln
Ste 320
Kirkland, WA 98034
Phone (206) 899-0555

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Organizations & group practices 9

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 9

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": "1209772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1235305855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE STE 600",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-454-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE STE 600",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-454-2656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Hoyt Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014918",
            "country_code": "US",
            "telephone_number": "425-339-5411",
            "fax_number": "425-339-5448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3941 J St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193633",
            "country_code": "US",
            "telephone_number": "916-736-2323",
            "fax_number": "916-736-0620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3941 J St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193633",
            "country_code": "US",
            "telephone_number": "916-453-2500",
            "fax_number": "916-456-1672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHAVADI",
        "first_name": "MAHEER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-03",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102854",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "238663",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A102854",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WA",
            "license": "MD60356847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.