DR. KALYAN DANDALA (MD) – Addiction Psychiatry Physician, NPI 1336295864

DR. KALYAN DANDALA (MD) is a healthcare provider. based in Bellevue, Washington. specializing in Addiction Psychiatry Physician. They hold the professional credentials MD. They hold a License No. MD00048010 (WA). The NPI Number for DR. KALYAN DANDALA (MD) is 1336295864

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KALYAN DANDALA (MD)
NPI
1336295864
Phone
(425) 283-4200
Address
1215 120TH AVE NE
Enumeration Date
26 January 2007
Last Update Date
16 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8885263066
Graduation Year
2003 (23 years ago)
PAC ID
9739262932
Group Practice PAC ID
1153603667
Professional Enrollment ID
I20080212000040
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KALYAN DANDALA (MD)

  • 1215, 120th Avenue Northeast, Spring District, Bellevue, King County, Washington, 98005, United States

    SUITE 201

    BELLEVUE, WA 980052135

    Phone: (425) 283-4200

    Fax: (425) 458-7528

    Type: Location

  • The Cosmopolitan, 819, Virginia Street, Belltown, Seattle, King County, Washington, 98101, United States

    UNIT 3107

    SEATTLE, WA 981014421

    Phone: (206) 708-6877

    Fax: (206) 708-6877

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $259.

Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.

Last reported payment date: 2023-10-06 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($259).

Total Amount

$259

General + Research + Ownership

Payments

2

Total payment records

General Amount

$259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-06

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98005)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153603667View full group profile
NameSpecialtyState
-WA

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Frequently asked questions

Can I verify DR. KALYAN DANDALA (MD) with an NPI only?
You can start verification with NPI 1336295864 for DR. KALYAN DANDALA (MD), then check state licensing separately.
Is DR. KALYAN DANDALA (MD) listed as active for patients and plans?
The listing shows DR. KALYAN DANDALA (MD) as active in the NPI system.
What taxonomy line describes DR. KALYAN DANDALA (MD)?
For research purposes, treat DR. KALYAN DANDALA (MD) as Addiction Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. KALYAN DANDALA (MD) based?
DR. KALYAN DANDALA (MD) is tied to Bellevue, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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