JAYA PRAVEEN KUMAR PENAGALURI – Psychiatry Physician, NPI 1124258645
Psychiatry Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JAYA PRAVEEN KUMAR PENAGALURI
105 W 8TH AVE STE 450E
SPOKANE, WA 992042302
Phone: (509) 474-6920
Type: Mailing
West Kootenai Health Way, Coeur d'Alene, Kootenai County, Idaho, 83815, United States
COEUR D ALENE, ID 838146051
Phone: (208) 625-5085
Fax: (208) 625-5731
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Pharmacosmos Therapeutics Inc. ($27).
Total Amount
$98
General + Research + Ownership
Payments
5
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-03-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230329002942 | I | Psychiatry | LA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Orthopedic Surgery | ID | |
| Interventional Cardiology | WA | |
| - | ID | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | ID | |
| - | WA | |
| - | ID | |
| - | OR | |
| Pulmonary Disease, Critical Care (Intensivists) | ID | |
| - | ID |
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