Individual provider Active NPI

Navdeep Kaur, MD

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1972745701
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60296842 Issued in WA
Practice address
3124 S 19TH St # 240
Tacoma, WA 98405-2433
Phone
(253) 459-6111
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35092766 OH
Internal Medicine Physician 207R00000X MD60296842 WA Primary

Addresses

Primary practice location

3124 S 19TH St # 240
Tacoma, WA 98405-2433

Mailing address

3124 S 19TH St # 240
Tacoma, WA 98405-2433
Phone (253) 459-6111

Other names 1

  • Navdeep Kaur Dhillon Other 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
I20121112000652 WA Practitioner - Internal Medicine 3779632195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivaa PLLCGroup PAC ID 6103127824, 2 clinicians

Practice addresses (Care Compare)

1900 116TH Ave NE
Suite 201
Bellevue, WA 98004-3013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35092766OHMDInternal Medicine Physician
MD60296842WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vivaa PLLC Internal Medicine CurrentSince Dec 10, 2017 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Public Hospital District No 2 CurrentSince Nov 3, 2013 Accepting new patients
North Ohio Heart Inc Internal Medicine Past Accepting new patients

Locations

1900 116th Ave NE
Ste 201
Bellevue, WA 98004
Phone (425) 250-9999

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

1301 4th Ave NW
Ste 302
Issaquah, WA 98027
Phone (206) 305-9963

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

Interoperability endpoints

  • Direct secure messaging: navdeep.kaur@4374.securemail.prognocis.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1972745701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST # 240",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-459-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST # 240",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-459-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "NAVDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35092766",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60296842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAVDEEP",
            "last_name": "DHILLON",
            "middle_name": "KAUR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.