Individual provider Active NPI

Kabita Nanda, M.D.

  • Pediatric Rheumatology Physician
  • Seattle, WA
National Provider Identifier
1780818518
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
MD60273913 Issued in WA
Practice address
4800 Sand Point Way NE # R-5420
Seattle, WA 98105-3901
Phone
(206) 987-2057
Fax
(206) 987-5060
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 093200 OH
Pediatric Rheumatology Physician 2080P0216X MD60273913 WA Primary

Addresses

Primary practice location

4800 Sand Point Way NE # R-5420
Seattle, WA 98105-3901

Mailing address

4800 Sand Point Way NE # R-5420
Seattle, WA 98105-3901
Phone (206) 987-2057

Other identifiers 2

IdentifierTypeStateIssuer
1025720450001MedicaidPA
2954727MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120710000245 WA Practitioner - Pediatric MedicinePractitioner - RheumatologyPractitioner - Other (Physician) 9537213061 Reassigns benefits to 1 organization
I20120810000141 TX Practitioner - RheumatologyPractitioner - Pediatric Medicine 9537213061 Reassigns benefits to 1 organization
I20220805000403 AK Practitioner - Pediatric MedicinePractitioner - Rheumatology 9537213061 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Jul 23, 2012 Accepting new patients
Providence Health & Services- Washington CurrentSince Apr 26, 2022 Accepting new patients
The Association of Chrmc and University Physicians CurrentSince Jun 1, 2012 Accepting new patients
Association of CHMC and University Physicians Pediatric Rheumatology CurrentSince Jun 1, 2012 Accepting new patients

Locations

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

4800 Sand Point Way NE
#R5420
Seattle, WA 98105
Phone (206) 987-2057

Interoperability endpoints

  • Direct secure messaging: knanda@direct.scf.cc
  • Direct secure messaging: knanda14810@direct.seattlechildrens.org
  • Direct secure messaging: knanda134687@ak.providencedirect.org

Organizations & group practices 4

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1780818518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE # R-5420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-2057",
            "fax_number": "206-987-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE # R-5420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-2057",
            "fax_number": "206-987-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDA",
        "first_name": "KABITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "OH",
            "license": "093200",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "WA",
            "license": "MD60273913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025720450001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2954727",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.