Active NPI
Santosh Agnani MD PS
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1245488709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MD00035512
- Legal business name
- SANTOSH AGNANI MD PS
- Practice address
- 2820 Northup Way Ste 105
Bellevue, WA 98004-1438 - Phone
- (425) 822-8153
- Fax
- (425) 822-4010
- NPI assigned
- Sep 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Santosh A Agnani, MD
- Title
- Owner
- Phone
- (425) 822-8153
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MD00035512 | WA | Primary |
Addresses
Primary practice location
2820 Northup Way Ste 105
Bellevue, WA 98004-1438
Mailing address
2820 Northup Way Ste 105
Bellevue, WA 98004-1438
Phone (425) 822-8153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Bellevue, WA
- NPI 1134178882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220832000000",
"number": "1245488709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 NORTHUP WAY STE 105",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041438",
"telephone_number": "425-822-8153",
"fax_number": "425-822-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 NORTHUP WAY STE 105",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041438",
"telephone_number": "425-822-8153",
"fax_number": "425-822-4010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTOSH AGNANI MD PS",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A",
"authorized_official_last_name": "AGNANI",
"authorized_official_first_name": "SANTOSH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-822-8153",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MD00035512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.