ILIANA DOMENICA MICALI (M.D.) – Internal Medicine Physician, NPI 1134128788
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
Provider Addresses for ILIANA DOMENICA MICALI (M.D.)
7424 BRIDGEPORT WAY W STE 201
LAKEWOOD, WA 984998134
Phone: (253) 240-2110
Fax: (253) 240-2111
Type: Location
309 2nd St SE
Ste 100
Auburn, WA 980025543
Phone: (253) 333-8646
Type: Location
225 176th St S
Spanaway, WA 983879201
Phone: (253) 240-2130
Fax: (253) 240-2133
Type: Location
309, 2nd Street Southeast, Downtown, Auburn, King County, Washington, 98002, United States
STE 100
AUBURN, WA 980025543
Phone: (253) 333-8646
Type: Mailing
PO BOX 34703
SEATTLE, WA 981241703
Phone: (253) 681-6626
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 114 Open Payments records for all available years, with a total value of $3,416.
Total Amount is formed as General ($3,416) + Research ($0) + Ownership ($0) = $3,416.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($699).
Total Amount
$3,416
General + Research + Ownership
Payments
114
Total payment records
General Amount
$3,416
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $699 |
| ABBVIE INC. | $545 |
| Dexcom, Inc. | $303 |
| Novo Nordisk Inc | $180 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $160 |
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: 2009-10-06
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 |
|---|---|---|---|---|
| I20091006000577 | I | Internal Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98499)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Physician Assistant | ID | |
| Clinical Psychologist | WA |
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