Razan R Al Kudsi, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD00028577 Issued in WA

Practice address

16259 Sylvester Rd SW
Suite 401
Burien, WA 98166-3049

Phone

(206) 242-8837

Fax

(206) 431-5549

NPI assigned

Jun 19, 2006

Last updated

Sep 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• NKC Yesler Terrace Kidney Center Dialysis facility, Seattle, WA, CCN 502500

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Razan R Al-Kudsi MD

  • Nephrology Physician
  • Burien, WA
  • NPI 1831110782
  Medicare reassignment NPD Authorized official
• Northwest Kidney Centers

  dba NKC Panther Lake Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kent, WA
  • NPI 1588378533
  NPD (past)
• Northwest Kidney Centers

  dba Northwest Kidney Centers dba Broadway Kidney Center

  • Renal Nutrition Registered Dietitian
  • Seatac, WA
  • NPI 1700025038
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Kidney Centers

  dba NKC Yesler Terrace Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Seattle, WA
  • NPI 1346242542

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1497790687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 153RD AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065339",
            "telephone_number": "206-242-8837",
            "fax_number": "206-431-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "SUITE 401",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663049",
            "telephone_number": "206-242-8837",
            "fax_number": "206-431-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL KUDSI",
        "first_name": "RAZAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00028577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073238",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110061080",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Leny E. Aguila
• Jennifer Melea Aguirre, LPN
• Jano Ahmed Jama, BSN, RN
• Asma Ahmed
• Steven Akuffo
• Alan Cooper DDS PS
• Alan D. Barronian, M.D., Inc., P.S.
• Sarah Josephine Alarid, RDN
• Garrett D Alcorn, MD
• Malia Alexander, ARNP

• Nephrology Physician in Burien, WA
• Providers in Burien, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.