DR. THANUJA JEYAKUMAR (M.D) – Diagnostic Radiology Physician, NPI 1104269760
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for DR. THANUJA JEYAKUMAR (M.D)
1304 Fawcett Ave Ste 100
Tacoma, WA 984021900
Phone: (253) 761-4200
Type: Location
5686 BROADVIEW RD
APT 2507
PARMA, OH 441341655
Phone: (216) 280-0456
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: 2023-02-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190910000022 | I | Diagnostic Radiology | NJ | TBD |
| I20230228000584 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 5,105 | 57 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 1,770 | 21 | $0 |
| 71046 | X-ray of chest, 2 views | 243 | 243 | $0 |
| 71250 | Ct scan of chest without contrast | 189 | 187 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 177 | 170 | $0 |
Insurance plans in this area (ZIP 98402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| - | WA |
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