Individual provider Active NPI

Vinutha Purohith, MD

  • Family Medicine Physician
  • Redmond, WA
National Provider Identifier
1356594881
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 60010603 Issued in WA
Practice address
4850 156TH Ave NE
Apt 345
Redmond, WA 98052-9662
Phone
(330) 412-1845
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 60010603 WA Primary

Addresses

Primary practice location

4850 156TH Ave NE
Apt 345
Redmond, WA 98052-9662

Mailing address

4850 156TH Ave NE
Apt 345
Redmond, WA 98052-9662
Phone (330) 412-1845

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925000611 WA Order and Referring Only - Family PracticePractitioner - Family Practice 8628134350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 60010603WAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1356594881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 156TH AVE NE",
            "address_2": "APT 345",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980529662",
            "telephone_number": "330-412-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 156TH AVE NE",
            "address_2": "APT 345",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980529662",
            "telephone_number": "330-412-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUROHITH",
        "first_name": "VINUTHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD 60010603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.