NPIMap

Individual provider Active NPI

Madhuri Kandala

  • Nephrology Physician
  • Bellevue, WA
National Provider Identifier
1952494874
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD00042273 Issued in WA
Practice address
1370 116TH Ave NE
Suite 209
Bellevue, WA 98004-3825
Phone
(425) 453-8406
Fax
(425) 453-4173
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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 MD00042273 WA Primary

Addresses

Primary practice location

1370 116TH Ave NE
Suite 209
Bellevue, WA 98004-3825

Mailing address

1370 116TH Ave NE
Suite 209
Bellevue, WA 98004-3825
Phone (425) 453-8406

Other identifiers 1

IdentifierTypeStateIssuer
1123520MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070309000009 WA Practitioner - NephrologyPractitioner - Internal Medicine 6002919255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cascade Kidney SpecialistsGroup PAC ID 0446482533, 7 clinicians

Practice addresses (Care Compare)

1370 116TH Ave NE
Suite 209
Bellevue, WA 98004-3825
Phone (425) 453-8406

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.4 of 100Reported as group
Quality
77.09
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042273WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Nov 12, 2013 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Cascade Kidney Specialists Nephrology CurrentSince Jan 1, 2014 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Nov 12, 2013 Accepting new patients
Kleaca Dialysis LLC PastSince May 1, 2022 Accepting new patients

Locations

1370 116th Ave NE
Ste 209
Bellevue, WA 98004
Phone (425) 453-8406

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

11521 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-6800

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

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: madhuri.kandala.1@31057.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1952494874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE",
            "address_2": "SUITE 209",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043825",
            "telephone_number": "425-453-8406",
            "fax_number": "425-453-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE",
            "address_2": "SUITE 209",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043825",
            "telephone_number": "425-453-8406",
            "fax_number": "425-453-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDALA",
        "first_name": "MADHURI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00042273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123520",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.