MR. VIMUKTA MAHADEV (M.D.) – Surgery Physician, NPI 1023404340

MR. VIMUKTA MAHADEV (M.D.) is a healthcare provider. based in Seattle, Washington. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD61017974 (WA). The NPI Number for MR. VIMUKTA MAHADEV (M.D.) is 1023404340

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. VIMUKTA MAHADEV (M.D.)
NPI
1023404340
Phone
(714) 397-5742
Address
1959 NE PACIFIC ST
Enumeration Date
14 April 2015
Last Update Date
5 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2534031000
Graduation Year
2015 (11 years ago)
PAC ID
2567770381
Group Practice PAC ID
1153774591
Professional Enrollment ID
I20211008002884
Address ID
WA984054234TA315XXWAYX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

827 GENERAL SURGERY in WA

Provider Addresses for MR. VIMUKTA MAHADEV (M.D.)

  • 1959 NE PACIFIC ST

    BOX 356410

    SEATTLE, WA 981956410

    Phone: (714) 397-5742

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $3,234.

Total Amount is formed as General ($3,234) + Research ($0) + Ownership ($0) = $3,234.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,788).

Total Amount

$3,234

General + Research + Ownership

Payments

25

Total payment records

General Amount

$3,234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2021-10-08

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
I20211008002884IGeneral SurgeryWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4833$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2015$0
View full utilization report →

Insurance plans in this area (ZIP 98195)

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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: 1153774591View full group profile
NameSpecialtyState
Physician AssistantWA
General SurgeryVT
Physician AssistantWA
Physician AssistantMD
Nurse PractitionerOH
Nurse PractitionerCA
Critical Care (Intensivists), General SurgeryCA
Nurse PractitionerOH
Physician AssistantWA
General SurgeryIN

Reviews

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Frequently asked questions

What federal number belongs to MR. VIMUKTA MAHADEV (M.D.)?
The federal identifier for MR. VIMUKTA MAHADEV (M.D.) is NPI 1023404340.
Is MR. VIMUKTA MAHADEV (M.D.) currently active in the NPI registry?
CMS-published data lists MR. VIMUKTA MAHADEV (M.D.) as an active registrant.
Can you summarize MR. VIMUKTA MAHADEV (M.D.)'s specialty in plain language?
Clinically, the directory lists MR. VIMUKTA MAHADEV (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for MR. VIMUKTA MAHADEV (M.D.)?
We surface Seattle, Washington for MR. VIMUKTA MAHADEV (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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