Individual provider Active NPI

Sarvesh Smiley Thakur, M.D.

  • Nephrology Physician
  • Seattle, WA
National Provider Identifier
1295761328
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD00036801 Issued in WA
Practice address
2150 N 107TH St
Suite 520
Seattle, WA 98133-1305
Phone
(206) 709-2009
Fax
(206) 709-2019
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD00036801 WA Primary

Addresses

Primary practice location

2150 N 107TH St
Suite 520
Seattle, WA 98133-1305

Mailing address

5314 189TH Ave NE
Sammamish, WA 98074-6201
Phone (206) 709-2009

Other identifiers 1

IdentifierTypeStateIssuer
1109743MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, SD, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080814000389 WA Practitioner - NephrologyPractitioner - Other (Physician)Practitioner - Internal Medicine 3779473244 Reassigns benefits to 1 organization
I20151020002750 SD Practitioner - Nephrology 3779473244 Reassigns benefits to 1 organization
I20230809003904 PA Practitioner - NephrologyPractitioner - Internal Medicine 3779473244 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 2, 2015 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 5, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 3, 2023 Accepting new patients
University of Pittsburgh Physicians Nephrology CurrentSince Jul 3, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 5, 2018 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Oct 2, 2015 Accepting new patients
Northstar Surgical Services, PLLC Past Accepting new patients
Seattle Endocrinology Inc Past Accepting new patients
Seattle Nephrology PLLC Nephrology Past Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

117 Vip Dr
Ste 120
Wexford, PA 15090
Phone (412) 586-9700

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1295761328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 189TH AVE NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980746201",
            "telephone_number": "206-709-2009",
            "fax_number": "206-709-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N 107TH ST",
            "address_2": "SUITE 520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331305",
            "telephone_number": "206-709-2009",
            "fax_number": "206-709-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "SARVESH",
        "middle_name": "SMILEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00036801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109743",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.