Individual provider Active NPI

Kiran Bhandari, M.D.

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1487035630
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60783027 Issued in WA
Practice address
12600 SE 38TH St Ste 130
Bellevue, WA 98006-6105
Phone
(425) 679-6056
NPI assigned
Jun 13, 2015
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 MD60783027 WA Primary

Addresses

Primary practice location

12600 SE 38TH St Ste 130
Bellevue, WA 98006-6105

Mailing address

12600 SE 38TH St Ste 130
Bellevue, WA 98006-6105
Phone (425) 679-6056

Other identifiers 1

IdentifierTypeStateIssuer
1489035630MedicaidWA

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
I20180717002114 WA Practitioner - Family Practice 0840594552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sage Medical GroupGroup PAC ID 1759539836, 4 clinicians

Practice addresses (Care Compare)

12600 SE 38TH St
Suite 130
Bellevue, WA 98006-6105
Phone (425) 679-6056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Snohomish County CurrentSince Aug 20, 2018 Accepting new patients
Sage Medical Group, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Community Health Center of Snohomish County Family Medicine CurrentSince Aug 20, 2018 Accepting new patients

Locations

12600 SE 38th St
Ste 130
Bellevue, WA 98006
Phone (425) 679-6056

23320 Highway 99
Edmonds, WA 98026
Phone (425) 640-5500

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1487035630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST STE 130",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066105",
            "telephone_number": "425-679-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST STE 130",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066105",
            "telephone_number": "425-679-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARI",
        "first_name": "KIRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60783027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1489035630",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.