Individual provider Active NPI

Kaye Evelyn Sedarsky, M.D.

  • Clinical Neurophysiology Physician
  • Walla Walla, WA
National Provider Identifier
1790047868
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
MD61518351 Issued in WA
Practice address
301 W Poplar St Ste 50
Walla Walla, WA 99362-2800
Phone
(509) 897-8050
Fax
(509) 897-8051
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101256040 VA
Clinical Neurophysiology Physician 2084N0600X MD61518351 WA Primary

Addresses

Primary practice location

301 W Poplar St Ste 50
Walla Walla, WA 99362-2800

Mailing address

301 W Poplar St Ste 50
Walla Walla, WA 99362-2800
Phone (509) 897-8050

Other names 1

  • Dr. Kaye Evelyn Dowdy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240712000717 WA Practitioner - Neurology 4587935705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services - WashingtonGroup PAC ID 2860552973, 266 clinicians

Practice addresses (Care Compare)

301 W Poplar St
Suite 50
Walla Walla, WA 99362-2800
Phone (509) 897-8300

Hospital & facility affiliations

  • Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
  • Providence at Home With Compassus Home Health, Walla Walla Home health agency, Walla Walla, WA, CCN 507034
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
  • St Anthony Hospital Hospital, Pendleton, OR, CCN 381319
  • Dayton General Hospital Hospital, Dayton, WA, CCN 501302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101256040VAMDNeurology Physician
MD61518351WAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince Aug 12, 2024 Accepting new patients
Providence Health & Services - Washington CurrentSince Aug 12, 2024 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

301 W Poplar St
Ste 50
Walla Walla, WA 99362
Phone (509) 522-5765

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1790047868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W POPLAR ST STE 50",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622800",
            "telephone_number": "509-897-8050",
            "fax_number": "509-897-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W POPLAR ST STE 50",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622800",
            "telephone_number": "509-897-8050",
            "fax_number": "509-897-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDARSKY",
        "first_name": "KAYE",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101256040",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "WA",
            "license": "MD61518351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYE",
            "last_name": "DOWDY",
            "middle_name": "EVELYN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.