Individual provider Active NPI

Kunjali T Padhya, MD

  • Gastroenterology Physician
  • Seattle, WA
National Provider Identifier
1982867560
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD60587870 Issued in WA
Practice address
1221 Madison St Ste 1220
Seattle, WA 98104
Phone
(206) 215-4250
Fax
(206) 215-4252
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301092248 MI
Internal Medicine Physician 207R00000X MD60587870 WA
Gastroenterology Physician 207RG0100X MD60587870 WA Primary

Addresses

Primary practice location

1221 Madison St Ste 1220
Seattle, WA 98104

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

5350 Tallman Ave NW Ste 520
Seattle, WA 98107-5910
Phone (206) 215-4250

Other identifiers 1

IdentifierTypeStateIssuer
1982867560MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kpadhya1037874@wm.providencedirect.org Direct
Direct Messaging Address kpadhya1037874@wm.providencedirect.org Direct

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
I20151014003154 WA Practitioner - Gastroenterology 6305014234 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Illinois Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacmed ClinicsGroup PAC ID 2466350657, shared by 2 NPIs, 211 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300

1221 Madison St
Suite 1220
Seattle, WA 98104-1356
Phone (206) 215-4250

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Pacmed Clinics CurrentSince Oct 11, 2022 Accepting new patients
Pacmed Clinics Internal Medicine CurrentSince Oct 11, 2022 Accepting new patients
Pacmed Clinics CurrentSince Oct 11, 2022 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

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

1221 Madison St
Ste 1220
Seattle, WA 98104
Phone (206) 215-4250

5350 Tallman Ave NW
Ste 520
Seattle, WA 98107
Phone (206) 215-4250

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

800 5th Ave
Ste 600
Seattle, WA 98104

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

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.

Hospital & facility affiliations 4

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1982867560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST STE 1220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-215-4250",
            "fax_number": "206-215-4252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Tallman Ave NW Ste 520",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075910",
            "country_code": "US",
            "telephone_number": "206-215-4250",
            "fax_number": "206-215-4252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADHYA",
        "first_name": "KUNJALI",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092248",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60587870",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60587870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982867560",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpadhya1037874@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 Madison St Ste 1220",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpadhya1037874@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5350 Tallman Ave NW Ste 520",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981075910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.