Active NPI
Aparna Pendurthi, M.D.
- Vascular Neurology Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- MD61134654
- Practice address
- 1400 E Kincaid St
Mount Vernon, WA 98274-4127 - Phone
- (360) 428-2550
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | MD61134654 | WA | Primary |
Addresses
Primary practice location
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176849 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apendurthi80068@skagit.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, WI, IL, OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 Dodson Ave
Suite 290
Fort Smith, AR 72901-5182
Phone (479) 709-7175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-19308 | AR | MD | Vascular Neurology Physician |
| 04-39928 | KS | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Veeone Medical Group PA | Current | Accepting new patients | |
| Baptist Health Services | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Ccmma SC LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Ganesha Institute of Neurology and Psychiatry SC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Baptist Health Services | Current | Accepting new patients | |
| Ganesha Institute of Neurology and Psychiatry SC | Vascular Neurology | Current | Accepting new patients |
Locations
1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025
1500 Dodson Ave
Ste 290
Fort Smith, AR 72901
Phone (479) 573-7905
1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661
1850 W Winchester Rd
Ste 115
Libertyville, IL 60048
Phone (847) 816-6335
1860 W Winchester Rd
Ste 106
Libertyville, IL 60048
Phone (847) 599-0715
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
4600 Green Bay Rd
Kenosha, WI 53144
Phone (847) 816-6335
Interoperability endpoints
- apendurthi801763@direct.baptist-healthar.org
Organizations & group practices 13
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.
-
- Foot & Ankle Surgery Podiatrist
- Fort Smith, AR
- NPI 1922587690
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Neurology Physician
- Libertyville, IL
- NPI 1629478599
WI
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1265156558
WA
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Diagnostic Radiology Physician
- Covington, WA
- NPI 1578803839
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1750856043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1962765230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-428-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDURTHI",
"first_name": "APARNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "WA",
"license": "MD61134654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2176849",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apendurthi80068@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Direct",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1400 E Kincaid St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.