ELISHA MVUNDURA (MD) – Obstetrics & Gynecology Physician, NPI 1083872410

ELISHA MVUNDURA (MD) is a healthcare provider. based in Centralia, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD00048832 (WA). The NPI Number for ELISHA MVUNDURA (MD) is 1083872410

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
ELISHA MVUNDURA (MD)
NPI
1083872410
Phone
(360) 330-8950
Address
1000 S SCHEUBER RD
Enumeration Date
2 June 2008
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
6709959570
Group Practice PAC ID
6709782600
Professional Enrollment ID
I20080728000143
Address ID
WA985065101OL525XXNEXX400

Contacts

Secure Messaging
emvundura92778@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,037 OBSTETRICS/GYNECOLOGY in WA

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Provider Addresses for ELISHA MVUNDURA (MD)

  • South Scheuber Road, Centralia, Lewis County, Washington, 98531-4320, United States

    CENTRALIA, WA 985318877

    Phone: (360) 330-8950

    Type: Location

  • 3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083360

    Phone: (360) 330-8950

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $782.

Total Amount is formed as General ($782) + Research ($0) + Ownership ($0) = $782.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Exeltis, USA Inc. ($231).

Total Amount

$782

General + Research + Ownership

Payments

33

Total payment records

General Amount

$782

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2008-07-28

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
I20080728000143IObstetrics/GynecologyWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6343$0
99214Established patient office or other outpatient visit, 30-39 minutes4033$0
99212Established patient office or other outpatient visit, 10-19 minutes1515$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
58558Biopsy of lining of uterus and/or removal of polyp using an endoscope1211$0
View full utilization report →

Insurance plans in this area (ZIP 98531)

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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: 6709782600View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YWA
Gynecological Oncology, Obstetrics/GynecologyCA
-OR
Certified Nurse Midwife (Cnm)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
-WA
Physician AssistantWA
Mental Health CounselorWA
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELISHA MVUNDURA (MD)?
ELISHA MVUNDURA (MD) — NPI 1083872410 — is the standard way to identify this listing.
Is ELISHA MVUNDURA (MD) listed as active for patients and plans?
The listing shows ELISHA MVUNDURA (MD) as active in the NPI system.
What taxonomy line describes ELISHA MVUNDURA (MD)?
For research purposes, treat ELISHA MVUNDURA (MD) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is ELISHA MVUNDURA (MD) based?
ELISHA MVUNDURA (MD) is tied to Centralia, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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