Individual provider Active NPI

Kiran Chaturvedi, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Mount Vernon, WA
National Provider Identifier
1245443480
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD60139225 Issued in WA
Practice address
111 S 12TH St
Mount Vernon, WA 98274-4000
Phone
(360) 527-4505
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X MD60139225 WA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD60139225 WA Primary

Addresses

Primary practice location

111 S 12TH St
Mount Vernon, WA 98274-4000

Mailing address

3560 Meridian St Ste 101
Bellingham, WA 98225-1731
Phone (360) 734-2800

Other practice location 1

3614 Meridian St
Suite 100
Bellingham, WA 98225-1748
Phone (360) 734-2800

Other practice location 2

3548 Meridian St Ste 101
Bellingham, WA 98225-1710
Phone (360) 734-2800

Other identifiers 2

IdentifierTypeStateIssuer
129973OtherAKMEDICAL LICENSE
MD60139225OtherWAMEDICAL LICENSE

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
I20180309001783 WA Practitioner - Pathology 0547354169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Pathology PLLCGroup PAC ID 4587553318, 7 clinicians

Practice addresses (Care Compare)

3560 Meridian St
Suite 101
Bellingham, WA 98225-1731
Phone (360) 734-2800

3614 Meridian St
Suite 100
Bellingham, WA 98225-1748
Phone (360) 734-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60139225WAMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pathology PLLC Hematology PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1245443480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 MERIDIAN ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251731",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 12TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744000",
            "telephone_number": "360-527-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3614 Meridian St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251748",
            "country_code": "US",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3548 Meridian St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251710",
            "country_code": "US",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHATURVEDI",
        "first_name": "KIRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "WA",
            "license": "MD60139225",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD60139225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "129973",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD60139225",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.