Active NPI
Kesav Parvataneni, M.D.
- Cardiovascular Disease Physician
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 60827451
- Practice address
- 1100 Goethals Dr Ste E
Richland, WA 99352-3301 - Phone
- (509) 942-3095
- Fax
- (509) 942-3097
- NPI assigned
- Jul 15, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301099128 | MI | |
| Internal Medicine Physician | 207R00000X | MD60827451 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | 60827451 | WA | Primary |
Addresses
Primary practice location
1100 Goethals Dr Ste E
Richland, WA 99352-3301
Mailing address
550 Gage Blvd
Ste 101
Richland, WA 99352-9532
Phone (509) 942-3627
Other practice location 1
602 E Nob Hill Blvd
Yakima, WA 98901-3534
Phone (509) 248-3334
Other practice location 2
110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099128 | MI | MD | Internal Medicine Physician |
| 60827451 | WA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SHC Medical Center Toppenish | Current | Accepting new patients | |
| Sunnyside Community Hospital Outpatient Center 5 | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients |
Locations
803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933
2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848
2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949
502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000
1420 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 454-7700
1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080
110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000
Interoperability endpoints
- kparvataneni433872@direct.hfhs.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Toppenish, WA
- NPI 1851817308
-
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1679521637
-
- Rural Health Clinic/Center
- Toppenish, WA
- NPI 1316422892
-
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1407289184
-
- Clinic/Center
- Yakima, WA
- NPI 1609395060
-
- Clinic/Center
- Yakima, WA
- NPI 1497107882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1487942124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GAGE BLVD",
"address_2": "STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529532",
"telephone_number": "509-942-3627",
"fax_number": "509-627-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 GOETHALS DR STE E",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523301",
"telephone_number": "509-942-3095",
"fax_number": "509-942-3097"
}
],
"practiceLocations": [
{
"address_1": "602 E Nob Hill Blvd",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989013534",
"country_code": "US",
"telephone_number": "509-248-3334",
"fax_number": "509-453-6144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 S 9th Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "98902",
"country_code": "US",
"telephone_number": "509-575-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARVATANENI",
"first_name": "KESAV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-15",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301099128",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60827451",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "60827451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.