Cascade Kidney Specialists
Internal Medicine, Nephrology in Bellevue, WA. Organization (NPI-2).
NPI number1124458310
StatusActive
Last updated in NPPESJun 28, 2019
Details
- NPI
- 1124458310
- Entity type
- Organization (NPI-2)
- Legal business name
- Cascade Kidney Specialists
- Organization subpart
- No
- Enumeration date
- Nov 25, 2013
- Last updated
- Jun 28, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Practice location
Cascade Kidney Specialists1370 116th Ave Ne Suite 209
Bellevue, WA 98004-3825
Phone 425-453-8406 · Fax 425-453-4173
Mailing address
Cascade Kidney Specialists1370 116th Ave Ne Suite 209
Bellevue, WA 98004-3825
Phone 425-453-8406 · Fax 425-453-4173
Authorized official
Madhuri Kandala
Owner
4254538406
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