Individual provider Active NPI

Mohinder Singh Badyal, M.D.

  • Pediatric Adolescent Medicine Physician
  • Federal Way, WA
National Provider Identifier
1730247073
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD00031337 Issued in WA
Practice address
32124 1St Ave S
Ste100
Federal Way, WA 98003-5761
Phone
(253) 661-5939
Fax
(253) 661-5929
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD00031337 WA Primary

Addresses

Primary practice location

32124 1St Ave S
Ste100
Federal Way, WA 98003-5761

Mailing address

32124 1St Ave S
Ste100
Federal Way, WA 98003-5761
Phone (253) 661-5939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00031337WAMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730247073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32124 1ST AVE S",
            "address_2": "STE100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035761",
            "telephone_number": "253-661-5939",
            "fax_number": "253-661-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32124 1ST AVE S",
            "address_2": "STE100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035761",
            "telephone_number": "253-661-5939",
            "fax_number": "253-661-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADYAL",
        "first_name": "MOHINDER",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "WA",
            "license": "MD00031337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2007; 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.