MRS. MARILENA G QUTAMI (PAC) – Physician Assistant, NPI 1831174895

MRS. MARILENA G QUTAMI (PAC) is a healthcare provider. based in Westlake village, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA17771 (CA). The NPI Number for MRS. MARILENA G QUTAMI (PAC) is 1831174895

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARILENA G QUTAMI (PAC)
NPI
1831174895
Phone
(818) 309-5447
Address
5686 STARWOOD CT
Enumeration Date
13 December 2005
Last Update Date
6 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6268988000
Graduation Year
2004 (22 years ago)
PAC ID
7012969082
Group Practice PAC ID
0446157747
Professional Enrollment ID
I20050217000719
Address ID
CA910073402AR300XXDRXX400

Contacts

Secure Messaging
mqutami465322@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for MRS. MARILENA G QUTAMI (PAC)

  • 5686 STARWOOD CT

    WESTLAKE VILLAGE, CA 913625200

    Phone: (818) 309-5447

    Fax: (310) 582-7481

    Type: Mailing

  • 9033 WILSHIRE BLVD STE 360

    BEVERLY HILLS, CA 902111846

    Phone: (310) 601-3366

    Type: Location

  • 2001 SANTA MONICA BLVD STE 760W

    SANTA MONICA, CA 904042102

    Phone: (310) 582-7474

    Fax: (310) 582-7481

    Type: Location

  • PO BOX 31309

    LOS ANGELES, CA 900310309

    Phone: (310) 601-3366

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $952.

Total Amount is formed as General ($952) + Research ($0) + Ownership ($0) = $952.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Stryker Corporation ($869).

Total Amount

$952

General + Research + Ownership

Payments

12

Total payment records

General Amount

$952

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050217000719IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27130Replacement of thigh bone and hip joint with prosthesis133132$0
27447Replacement of knee joint, both sides of knee128123$0
27446Replacement of knee joint on side of knee1111$0
View full utilization report →

Insurance plans in this area (ZIP 91362)

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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: 0446157747View full group profile
NameSpecialtyState
-CA
U R O L O G YCA
Diagnostic RadiologyNY
Diagnostic RadiologyCA
-CA
-CA
H E M A T O L O G Y/ O N C O L O G YCA
General SurgeryCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA

Reviews

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Frequently asked questions

How do I look up MRS. MARILENA G QUTAMI (PAC) by NPI?
Use NPI 1831174895 when you need to reference MRS. MARILENA G QUTAMI (PAC) in forms, claims, or directories.
Is MRS. MARILENA G QUTAMI (PAC) active in the national directory?
MRS. MARILENA G QUTAMI (PAC)'s public NPI profile is in an active state.
What field does MRS. MARILENA G QUTAMI (PAC) work in?
You can think of MRS. MARILENA G QUTAMI (PAC) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MRS. MARILENA G QUTAMI (PAC) practice in California?
You will see Westlake Village, California on file for MRS. MARILENA G QUTAMI (PAC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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