Active NPI
Dhirendra MD PLLC
- Family Medicine Physician
- Redmond, WA
National Provider Identifier
1376949248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DHIRENDRA MD PLLC
- Practice address
- 4018 166TH Ave NE
Redmond, WA 98052-5400 - Phone
- (224) 766-9400
- NPI assigned
- Nov 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dhirendra Kumar, MD
- Title
- MD/Owner
- Phone
- (224) 766-9400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4018 166TH Ave NE
Redmond, WA 98052-5400
Mailing address
4018 166TH Ave NE
Redmond, WA 98052-5400
Phone (224) 766-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD60287313 | Other | WA | WA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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-
- Physical Medicine & Rehabilitation Physician
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- NPI 1811901861
-
- Medical Physician Assistant
- Seattle, WA
- NPI 1558394171
-
- Medical Physician Assistant
- Puyallup, WA
- NPI 1346522752
-
- Physician Assistant
- Redmond, WA
- NPI 1639986912
-
- Medical Physician Assistant
- Spanaway, WA
- NPI 1306820881
-
- Family Nurse Practitioner
- Woodinville, WA
- NPI 1417525734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415145600000",
"number": "1376949248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4018 166TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525400",
"telephone_number": "224-766-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4018 166TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525400",
"telephone_number": "224-766-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHIRENDRA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-05",
"last_updated": "2014-11-05",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "DHIRENDRA",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "224-766-9400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA MEDICAL LICENSE",
"identifier": "MD60287313",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.