Active NPI
Sushil Vasudeva, DC
- Chiropractor
- Seattle, WA
National Provider Identifier
1285751784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003102
- Practice address
- 9425 35TH Ave NE
Suite B
Seattle, WA 98115-2500 - Phone
- (206) 524-6335
- Fax
- (206) 524-2459
- NPI assigned
- Mar 22, 2007
- Last updated
- Dec 17, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00003102 | WA | Primary |
Addresses
Primary practice location
9425 35TH Ave NE
Suite B
Seattle, WA 98115-2500
Mailing address
9425 35TH Ave NE
Suite B
Seattle, WA 98115-2500
Phone (206) 524-6335
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111628 | Other | WA | LABOR & INDUSTRY GROUP NU |
| 103256 | Other | WA | LABOR & INDUSTRY NUMBER |
| 8869069 | Other | WA | MEDICARE GROUP NUMBER |
| VAO633 | Other | WA | REGENCE RIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9425 35TH Ave NE
Suite B
Seattle, WA 98115-2559
Phone (206) 524-6335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00003102 | WA | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Seattle, WA
- NPI 1376572354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1285751784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9425 35TH AVE NE",
"address_2": "SUITE B",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152500",
"telephone_number": "206-524-6335",
"fax_number": "206-524-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9425 35TH AVE NE",
"address_2": "SUITE B",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152500",
"telephone_number": "206-524-6335",
"fax_number": "206-524-2459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASUDEVA",
"first_name": "SUSHIL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY GROUP NU",
"identifier": "111628",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY NUMBER",
"identifier": "103256",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "8869069",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER NUMBER",
"identifier": "VAO633",
"state": "WA"
}
],
"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 Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.