DR. ASHVINI VAIDYA MD
NPI 1205405594
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since June 21, 2021PECOS Enrolled
611 12TH AVE S, SEATTLE, WA 98144(206) 324-9360 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 29, 2025, Jun 21, 2021 (2 updates tracked since 2021).

About Dr. Ashvini Vaidya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ASHVINI VAIDYA MD (NPI 1205405594) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205405594
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ASHVINI VAIDYACredential: MD
Location Address611 12TH AVE SSeattle, WA 98144-2007
Mailing Address550 16th Ave Ste 400Seattle, WA 98122-5636 · (206) 320-2233
Sole ProprietorNo
Enumeration DateJune 21, 2021
Last NPPES UpdateMarch 29, 20252 updates tracked since enumeration
NPPES CertifiedMarch 29, 2025
NPI 1205405594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

611 12TH AVE S, Seattle, WA 98144

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ashvini Vaidya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
611 12TH AVE S
SEATTLE, WA 98144
Physician Assistant
611 12TH AVE S, SUITE 200
SEATTLE, WA 98144
Social Worker
611 12TH AVE S, SUITE 200
SEATTLE, WA 98144
Counselor (Mental Health)
611 12TH AVE S
SEATTLE, WA 98144
Dentist (General Practice)
611 12TH AVE S, SUITE 200
SEATTLE, WA 98144
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
611 12TH AVE S
SEATTLE, WA 98144
Pharmacist
611 12TH AVE S
SEATTLE, WA 98144
Dental Hygienist
611 12TH AVE S, SUITE 200
SEATTLE, WA 98144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205405594, enumerated as an "individual" on June 21, 2021.

The provider is located at 611 12TH AVE S SEATTLE, WA 98144 and the phone number is (206) 324-9360.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.