NPIMap

Individual provider Active NPI

Lavanya Viswanathan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Burien, WA
National Provider Identifier
1285029959
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD60956240 Issued in WA
Practice address
16045 1St Ave S FL 1
Burien, WA 98148-1401
Phone
(206) 965-4100
Fax
(253) 426-6344
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD60956240 WA Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD461531 PA

Addresses

Primary practice location

16045 1St Ave S FL 1
Burien, WA 98148-1401

Mailing address

16045 1St Ave S FL 1
Burien, WA 98148-1401
Phone (206) 965-4100

Other practice location 1

5140 Liberty Ave Fl 2
Pittsburgh, PA 15224-2215
Phone (412) 578-1724

Other identifiers 2

IdentifierTypeStateIssuer
103323750MedicaidPA
2143287MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lviswanathan555302@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA2 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
I20170823002768 PA Practitioner - Endocrinology 9931496916 Reassigns benefits to 1 organization
I20200109000354 WA Practitioner - Endocrinology 9931496916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16045 1St Ave S
FL 1
Burien, WA 98148-1401

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Highline Medical Center Hospital, Burien, WA, CCN 500011
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461531PAMDEndocrinology, Diabetes & Metabolism Physician
MD60956240WAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Dec 9, 2019 Accepting new patients
Allegheny Clinic Current Accepting new patients
Franciscan Medical Group Current Accepting new patients
Allegheny Clinic Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2017 Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 365
Jefferson Hills, PA 15025
Phone (412) 469-7030

1900 Waterdam Plaza Dr
Ste 2
McMurray, PA 15317
Phone (724) 260-7531

5140 Liberty Ave
Fl 2
Pittsburgh, PA 15224
Phone (412) 578-1724

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

16045 1st Ave S
Fl 1
Burien, WA 98148
Phone (206) 965-4100

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 8

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 7

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1285029959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16045 1ST AVE S FL 1",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481401",
            "telephone_number": "206-965-4100",
            "fax_number": "253-426-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16045 1ST AVE S FL 1",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481401",
            "telephone_number": "206-965-4100",
            "fax_number": "253-426-6344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5140 Liberty Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152242215",
            "country_code": "US",
            "telephone_number": "412-578-1724",
            "fax_number": "412-578-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "LAVANYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD60956240",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD461531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103323750",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143287",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lviswanathan555302@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16045 1st Ave S Fl 1",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981481401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.