Individual provider Active NPI

Nidyanandh Vadivel, M.D.

  • Nephrology Physician
  • Seattle, WA
National Provider Identifier
1811069206
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD60231640 Issued in WA
Practice address
1124 Columbia St Ste 600
Swedish Organ Transplant
Seattle, WA 98104-2046
Phone
(206) 215-6432
Fax
(206) 386-3622
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD60231640 WA Primary

Addresses

Primary practice location

1124 Columbia St Ste 600
Swedish Organ Transplant
Seattle, WA 98104-2046

Mailing address

1124 Columbia St Ste 600
Swedish Organ Transplant
Seattle, WA 98104-2046
Phone (206) 215-6432

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nvadivel499166@wm.providencedirect.org
Direct Messaging Address nvadivel499166@wm.providencedirect.org
Direct Messaging Address nvadivel499166@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, 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
I20111215000878 WA Practitioner - Internal MedicinePractitioner - Nephrology 7810031663 Reassigns benefits to 1 organization
I20130410000291 ID Practitioner - Internal MedicinePractitioner - Nephrology 7810031663 Reassigns benefits to 1 organization
I20130607000325 AK Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - NeurologyPractitioner - Other (Physician) 7810031663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1124 Columbia St
Suite 600
Seattle, WA 98104-2046
Phone (206) 386-3660

3300 Providence Dr
Suite B208
Anchorage, AK 99508-4690
Phone (206) 386-3660

5610 W Gage St
Suite a
Boise, ID 83706-1332
Phone (800) 996-7426

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Oct 1, 2011 Accepting new patients
Swedish Health Services CurrentSince Oct 1, 2011 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

3300 Providence Dr
Ste B208
Anchorage, AK 99508
Phone (206) 386-3660

5610 W Gage St
Ste A
Boise, ID 83706
Phone (208) 367-3370

3525 E Louise Dr
Ste 100
Meridian, ID 83642
Phone (208) 999-0356

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 5th Ave
Ste 600
Seattle, WA 98104

1536 N 115th St
Ste 320
Seattle, WA 98133
Phone (206) 368-3075

1124 Columbia St
Ste 600
Seattle, WA 98104
Phone (206) 386-3660

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 7

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1811069206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST STE 600",
            "address_2": "SWEDISH ORGAN TRANSPLANT",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042046",
            "telephone_number": "206-215-6432",
            "fax_number": "206-386-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST STE 600",
            "address_2": "SWEDISH ORGAN TRANSPLANT",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042046",
            "telephone_number": "206-215-6432",
            "fax_number": "206-386-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADIVEL",
        "first_name": "NIDYANANDH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60231640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvadivel499166@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1124 Columbia St Ste 600",
            "address_2": "Swedish Organ Transplant",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981042046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvadivel499166@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "550 17th Ave Ste A20",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvadivel499166@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1536 N 115th St Ste 320",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981338400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.