KIRAN GANGADHAR MD – NPI #1679906580
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

KIRAN GANGADHAR is a radiologist located in SANTA MONICA, CA. NPPES has assigned the NPI number 1679906580 to KIRAN GANGADHAR on August 14, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on Nov 21, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIRAN GANGADHAR below.

NPI Profile for
KIRAN GANGADHAR

NPI Number
1679906580
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KIRAN GANGADHAR
Credentials
MD
Primary location
2428 SANTA MONICA BLVD
SANTA MONICA, CA 90404-2045
Phone: (310) 315-1000 Fax:
4 Other location(s):
21700 Highway 99
Edmonds, WA 98026-8034
Phone: (425) 640-4949
Fax: (425) 640-4940
11521 NE 128th St Ste 200
Kirkland, WA 98034-4317
Phone: (425) 952-6100
Fax: (425) 952-6150
19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone: (425) 563-1500 Ext: 1
Fax: (425) 563-1501
1959 NE Pacific St
Seattle, WA 98195-0001
Phone: (206) 520-5700
Mailing address
19020 33RD AVE W
STE 210
LYNNWOOD, WA 98036-4748
Phone: (425) 563-1500 Fax: (425) 563-1374
Sole Proprietor
No
Updated
Certification Date
Nov 21, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIRAN GANGADHAR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherLNI-EVERGREEN RADIAWA0390732
otherLNI-RADIA KING COUNTYWA0390730
otherLNI-RADIA REST OF WAWA0390729
otherLNI-SWEDISH RADIA EDMONDSWA0390731
medicaidWA1679906580
medicaidWA2036468
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 WA MD60751368
2085B0100X
- Radiology / Body Imaging		 WA MD60751368
207U00000X
- Nuclear Medicine		 WA MD60751368

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KIRAN GANGADHAR is affiliated with the following medical group(s):
  • HOSPITAL
    • HARBORVIEW MEDICAL CENTER
      325 9TH AVENUE
      SEATTLE, WA 98104
    • PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
      1321 COLBY AVENUE
      EVERETT, WA 98201
    • SWEDISH EDMONDS HOSPITAL
      21601 76TH AVENUE WEST
      EDMONDS, WA 98026
    • SWEDISH MEDICAL CENTER
      747 BROADWAY
      SEATTLE, WA 98122
    • UNIVERSITY OF WASHINGTON MEDICAL CTR
      1959 NE PACIFIC ST BOX 356151
      SEATTLE, WA 98195

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.