LLEWELLYN NAYAGAM PACKIA RAJ (MD) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1659339695
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
319 PHYSICAL MEDICINE AND REHABILITATION in WA
Provider Addresses for LLEWELLYN NAYAGAM PACKIA RAJ (MD)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
1750 112TH AVE NE STE D258
BELLEVUE, WA 980043727
Phone: (425) 498-2272
Fax: (425) 498-2334
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-08-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050820000031 | I | Physical Medicine And Rehabilitation | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 125 | 89 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 86 | 86 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 72 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 53 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 34 | 19 | $0 |
Insurance plans in this area (ZIP 84125)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | WA | 62311 | Injections of substances into lower or sacral spine | 23 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| Qualified Speech Language Pathologist | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Nurse Practitioner | TX | |
| - | WA |
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