DR. RAVILLA L MAHIDHAR (MD) – Interventional Cardiology Physician, NPI 1134346836

DR. RAVILLA L MAHIDHAR (MD) is a healthcare provider. based in Everett, Washington. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. D81014 (MD). The NPI Number for DR. RAVILLA L MAHIDHAR (MD) is 1134346836

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAVILLA L MAHIDHAR (MD)
NPI
1134346836
Phone
(425) 225-2700
Address
12728 19TH AVE SE STE 200
Enumeration Date
20 April 2007
Last Update Date
7 July 2021

Doctor Profile

Medical School Name
MARION SIMS COLLEGE OF MEDICINE - NLG
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
1254424815
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20120814000391
Address ID
WA983351706GI4700XDRXX400

Contacts

Secure Messaging
rmahidhar139136@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

181 INTERVENTIONAL CARDIOLOGY in WA

Provider Addresses for DR. RAVILLA L MAHIDHAR (MD)

  • 12728 19TH AVE SE STE 200

    EVERETT, WA 982086526

    Phone: (425) 225-2700

    Type: Location

  • PO BOX 3360

    PORTLAND, OR 972083360

    Phone: (866) 366-2983

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $491.

Total Amount is formed as General ($491) + Research ($0) + Ownership ($0) = $491.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Boston Scientific Corporation ($228).

Total Amount

$491

General + Research + Ownership

Payments

15

Total payment records

General Amount

$491

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2012-08-14

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
I20120814000391IInterventional CardiologyWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes352249$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes15123$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month14725$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes13120$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days10121$0
View full utilization report →

Insurance plans in this area (ZIP 98208)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

What NPI should I save for DR. RAVILLA L MAHIDHAR (MD)?
Save NPI 1134346836 if you need a stable reference for DR. RAVILLA L MAHIDHAR (MD).
Does this profile mean DR. RAVILLA L MAHIDHAR (MD) is currently active?
Yes — DR. RAVILLA L MAHIDHAR (MD) appears active in the national provider directory.
What does DR. RAVILLA L MAHIDHAR (MD) treat or focus on?
Patients typically see DR. RAVILLA L MAHIDHAR (MD) under the specialty Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. RAVILLA L MAHIDHAR (MD)'s primary listing?
We display Everett, Washington because that is what the record indicates for DR. RAVILLA L MAHIDHAR (MD).
Is DR. RAVILLA L MAHIDHAR (MD) a real provider?
This page reflects official NPPES data for NPI 1134346836. Always confirm identity and privileges with the practice and licensing boards.

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