Active NPI
Maithri Lakshmi Sarangam
- Pediatrics Physician
- Seattle, WA
National Provider Identifier
1245762400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ML60760058
- Practice address
- 611 12TH Ave S
Seattle, WA 98144-2007 - Phone
- (203) 324-9360
- NPI assigned
- Mar 28, 2017
- Last updated
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ML60760058 | WA | Primary |
Addresses
Primary practice location
611 12TH Ave S
Seattle, WA 98144-2007
Mailing address
611 12TH Ave S
Seattle, WA 98144-2007
Phone (203) 324-9360
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Indian Health Board | Current | Accepting new patients | |
| Seattle Indian Health Board | Current | Accepting new patients | |
| Seattle Indian Health Board | Past | Accepting new patients |
Locations
124 2nd Ave S
Seattle, WA 98104
Phone (206) 292-6214
12736 33rd Ave NE
#200
Seattle, WA 98125
Phone (206) 324-9360
611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360
Interoperability endpoints
- msarangam348602@direct.ochin.org
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1316012461
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1922673367
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1306911458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1245762400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 12TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442007",
"telephone_number": "203-324-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 12TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442007",
"telephone_number": "203-324-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARANGAM",
"first_name": "MAITHRI",
"middle_name": "LAKSHMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "ML60760058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.