DR. RAHUL MANDIGA (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1083800502

DR. RAHUL MANDIGA (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. MD60566287 (WA). The NPI Number for DR. RAHUL MANDIGA (M.D.) is 1083800502

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAHUL MANDIGA (M.D.)
NPI
1083800502
Phone
(253) 275-1000
Address
1901 S Union Ave
Enumeration Date
18 September 2007
Last Update Date
27 April 2023

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2532951000
Graduation Year
2007 (19 years ago)
PAC ID
4688843790
Group Practice PAC ID
6002295508
Professional Enrollment ID
I20150812009282
Address ID
WA980555781RE4009XSXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

467 OPHTHALMOLOGY in WA

Provider Addresses for DR. RAHUL MANDIGA (M.D.)

  • 1901 S Union Ave

    Allenmore Building B - Suite 5004

    Tacoma, WA 98405

    Phone: (253) 275-1000

    Fax: (253) 275-9000

    Type: Location

  • 4009 Talbot Rd S Ste 400

    Renton, WA 980555781

    Phone: (253) 275-1000

    Fax: (253) 275-9000

    Type: Location

  • 125 3RD ST NE STE 402

    AUBURN, WA 980024035

    Phone: (253) 275-1000

    Fax: (253) 275-9000

    Type: Mailing

  • 125 3RD ST NE STE 200

    AUBURN, WA 980024035

    Phone: (253) 275-1000

    Fax: (253) 275-9000

    Type: Location

  • 270, Leigh Farm Road, Eastwood Park, Chapel Hill, Durham County, North Carolina, 27517, United States

    APT 408

    DURHAM, NC 277078137

    Phone: (206) 735-0735

    Type: Mailing

  • Cascade Vision Center, 4300, Talbot Road South, Renton, King County, Washington, 98055, United States

    SUITE 201

    RENTON, WA 980556238

    Phone: (425) 228-6262

    Fax: (425) 228-6260

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $5,093.

Total Amount is formed as General ($5,093) + Research ($0) + Ownership ($0) = $5,093.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Genentech USA, Inc. ($2,299).

Total Amount

$5,093

General + Research + Ownership

Payments

38

Total payment records

General Amount

$5,093

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2015-08-12

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
I20150812009282IOphthalmologyWATBD

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
J2777Injection, faricimab-svoa, 0.1 mg18,00667$0
92134Imaging of retina1,465472$0
J0178Injection, aflibercept, 1 mg1,198144$0
67028Injection of drug into eye1,038258$0
92012Established patient problem focused exam of visual system665305$0
View full utilization report →

Insurance plans in this area (ZIP 98405)

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Provider's Procedures

DR. RAHUL MANDIGA (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYWA92012Eye and medical examination for diagnosis and treatment, established patient817308
OPHTHALMOLOGYWA92134Diagnostic imaging of retina1043360

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: 6002295508View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YNV

Reviews

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Frequently asked questions

How do payers reference DR. RAHUL MANDIGA (M.D.)?
For DR. RAHUL MANDIGA (M.D.), use NPI 1083800502 as the unique 10-digit identifier.
Active or inactive — what applies to DR. RAHUL MANDIGA (M.D.)?
You should see DR. RAHUL MANDIGA (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. RAHUL MANDIGA (M.D.)?
DR. RAHUL MANDIGA (M.D.)'s specialty line reads Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is DR. RAHUL MANDIGA (M.D.) registered?
Use Tacoma, Washington as the headline location for DR. RAHUL MANDIGA (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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