Organization Active NPI

Mohinder Singh Badyal MD

  • Pediatrics Physician
  • Federal Way, WA
National Provider Identifier
1588099162
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD000031337 Issued in WA
Legal business name
MOHINDER SINGH BADYAL MD
Practice address
32124 1St Ave S Ste 100
Federal Way, WA 98003-5761
Phone
(253) 661-5939
Fax
(253) 661-5929
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Dr. Mohinder Singh Badyal, M.D.
Title
Owner
Phone
(253) 661-5939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD000031337 WA Primary

Addresses

Primary practice location

32124 1St Ave S Ste 100
Federal Way, WA 98003-5761

Mailing address

32124 1St Ave S Ste 100
Federal Way, WA 98003-5761
Phone (253) 661-5939

Other identifiers 1

IdentifierTypeStateIssuer
7056443MedicaidWA

Other names 1

  • Federal Way Pediatric Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Federal Way Pediatric Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

32124 1st Ave S
Federal Way, WA 98003

32124 1st Ave S
Ste 100
Federal Way, WA 98003
Phone (253) 661-5939

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1588099162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32124 1ST AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035761",
            "telephone_number": "253-661-5939",
            "fax_number": "253-667-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32124 1ST AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035761",
            "telephone_number": "253-661-5939",
            "fax_number": "253-661-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHINDER SINGH BADYAL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "BADYAL",
        "authorized_official_first_name": "MOHINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-661-5939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD000031337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7056443",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federal Way Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.