DR. KALYAN DANDALA MD
NPI 1336295864
Psychiatry & Neurology - Addiction Psychiatry in Bellevue, WA

Active since January 26, 2007PECOS Enrolled
1215 120TH AVE NE, SUITE 201, BELLEVUE, WA 98005(425) 283-4200(425) 458-7528 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kalyan Dandala Md NPPES

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

DR. KALYAN DANDALA MD (NPI 1336295864) is an individual addiction psychiatry provider in Bellevue, Washington, licensed in Washington (MD00048010) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336295864
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameDR. KALYAN DANDALACredential: MD
Location Address1215 120TH AVE NE, SUITE 201Bellevue, WA 98005-2135
Mailing Address819 Virginia St, Unit 3107Seattle, WA 98101-4421 · (206) 708-6877 · Fax (206) 708-6877
Fax(425) 458-7528
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 16, 2015
NPI 1336295864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License Licensed in WA · MD00048010
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License MD00048010 (WA)
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License MD00048010 (WA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD00048010 (WA)
1215 120TH AVE NE, Bellevue, WA 98005

Accepted Insurance

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. Kalyan Dandala 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 12

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

Clinic/Center
1215 120TH AVE NE, SUITE 206
BELLEVUE, WA 98005
Clinic/Center (Recovery Care)
1215 120TH AVE NE, SUITE 204
BELLEVUE, WA 98005
Family Medicine (Addiction Medicine)
1215 120TH AVE NE, 201 & 204
BELLEVUE, WA 98005
Counselor (Addiction (Substance Use Disorder))
1215 120TH AVE NE, SUITE 201
BELLEVUE, WA 98005
Internal Medicine (Addiction Medicine)
1215 120TH AVE NE, SUITE 201
BELLEVUE, WA 98005
Counselor (Addiction (Substance Use Disorder))
1215 120TH AVE NE, 201
BELLEVUE, WA 98005
Psychologist
1215 120TH AVE NE, STE 201
BELLEVUE, WA 98005
Clinic/Center
1215 120TH AVE NE, SUITE 206
BELLEVUE, WA 98005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kalyan Dandala's NPI number?

The NPI number for Kalyan Dandala is 1336295864. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Kalyan Dandala located?

Kalyan Dandala practices at 1215 120th Ave NE Suite 201, Bellevue, WA 98005. The listed phone number is (425) 283-4200.

What is Kalyan Dandala's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Kalyan Dandala enrolled in Medicare?

Yes. Kalyan Dandala is registered in the Medicare PECOS enrollment system.

What insurance does Kalyan Dandala accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Kalyan Dandala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kalyan Dandala was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.