DR. RAJDEN KUTELIA (M.D.) – Internal Medicine Physician, NPI 1013993906

DR. RAJDEN KUTELIA (M.D.) is a healthcare provider. based in Longview, Washington. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 43232 (WA). The NPI Number for DR. RAJDEN KUTELIA (M.D.) is 1013993906

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAJDEN KUTELIA (M.D.)
NPI
1013993906
Phone
(360) 423-9580
Address
1706 Washington Way
Enumeration Date
21 December 2005
Last Update Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
7618947649
Group Practice PAC ID
8921903923
Professional Enrollment ID
I20130304000395
Address ID
VA235023920NO850XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,058 INTERNAL MEDICINE in WA

Provider Addresses for DR. RAJDEN KUTELIA (M.D.)

  • 1706 Washington Way

    Longview, WA 986322952

    Phone: (360) 423-9580

    Fax: (360) 577-6230

    Type: Location

  • Gresham Drive, Norfolk, Virginia, 23507, United States

    NORFOLK, VA 235071904

    Phone: (757) 388-3198

    Fax: (757) 388-4242

    Type: Mailing

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: 2013-03-04

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
I20130304000395IInternal MedicineVATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes353145$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes226102$0
99239Hospital discharge day management, more than 30 minutes124123$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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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: 8921903923View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineVA
Nurse PractitionerVA
-MI
-VA
-VA
Pulmonary Disease, Internal MedicineGA
N E U R O L O G YVA
Physician AssistantVA
-VA
Family PracticeVA

Reviews

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Frequently asked questions

Is DR. RAJDEN KUTELIA (M.D.) listed with a National Provider Identifier?
Yes — DR. RAJDEN KUTELIA (M.D.) has NPI 1013993906 on file in the registry.
Active or inactive — what applies to DR. RAJDEN KUTELIA (M.D.)?
You should see DR. RAJDEN KUTELIA (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. RAJDEN KUTELIA (M.D.)?
DR. RAJDEN KUTELIA (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. RAJDEN KUTELIA (M.D.) associated with Longview?
Public fields place DR. RAJDEN KUTELIA (M.D.) around Longview, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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