Organization Active NPI

Madhuri Kandala, M.D.

Doing business as Washington Nephrology and Hypertension PLLC

  • Nephrology Physician
  • Bellevue, WA
National Provider Identifier
1841383767
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MADHURI KANDALA, M.D.
Doing business as
Washington Nephrology and Hypertension PLLC
Practice address
2015 116TH Avenue NE
Suite B
Bellevue, WA 98004
Phone
(425) 453-8406
Fax
(425) 453-4173
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. Madhuri Kandala, MD
Title
Self Owner
Phone
(425) 453-8406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2015 116TH Avenue NE
Suite B
Bellevue, WA 98004

Mailing address

2015 116TH Ave NE
Suite B
Bellevue, WA 98004-3018
Phone (206) 592-5000

Other identifiers 1

IdentifierTypeStateIssuer
1123520MedicaidWA

Other names 1

  • Washington Nephrology and Hypertension PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2015 116th Ave NE
#B
Bellevue, WA 98004
Phone (425) 305-4100

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1841383767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 116TH AVE NE",
            "address_2": "SUITE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043018",
            "telephone_number": "206-592-5000",
            "fax_number": "206-824-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 116TH AVENUE NE",
            "address_2": "SUITE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-453-8406",
            "fax_number": "425-453-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHURI KANDALA, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "KANDALA",
        "authorized_official_first_name": "MADHURI",
        "authorized_official_title_or_position": "SELF OWNER",
        "authorized_official_telephone_number": "425-453-8406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123520",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Nephrology and Hypertension PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.