Individual provider Active NPI

Amritha Panchanathan Patel, MD

  • Pediatrics Physician
  • Bellevue, WA
National Provider Identifier
1780115071
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
70034293 Issued in WA
Practice address
2475 140TH Ave NE
Bellevue, WA 98005-1892
Phone
(425) 827-4600
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 70034293 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2475 140TH Ave NE
Bellevue, WA 98005-1892

Mailing address

2475 140TH Ave NE
Bellevue, WA 98005-1892
Phone (425) 827-4600

Other names 1

  • Mrs. Amritha Krithika Panchanathan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20170823003033 CT Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1759653975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66582CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics Past Accepting new patients
Trusted Doctors LLC Pediatrics PastSince May 28, 2023 Accepting new patients
Kidz Docs, PLLC PastSince May 28, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1780115071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 140TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051892",
            "telephone_number": "425-827-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 140TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051892",
            "telephone_number": "425-827-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMRITHA",
        "middle_name": "PANCHANATHAN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "70034293",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMRITHA",
            "last_name": "PANCHANATHAN",
            "middle_name": "KRITHIKA",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.