Active NPI
Mohinder Singh Badyal MD
- Pediatrics Physician
- Federal Way, WA
National Provider Identifier
1588099162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD000031337
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7056443 | Medicaid | WA |
Other names 1
- Federal Way Pediatric Associates
National Provider Directory
National Provider Directory- Tax ID family
- Federal Way Pediatric Assoc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Point of Service
- Federal Way, WA
- NPI 1952561805
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.