SHIVALI AGNANI MENDA (MD) – Glaucoma Specialist (Ophthalmology) Physician, NPI 1164749768
Glaucoma Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
466 OPHTHALMOLOGY in WA
Provider Addresses for SHIVALI AGNANI MENDA (MD)
7600 EVERGREEN WAY
EVERETT, WA 982036421
Phone: (206) 860-5414
Type: Mailing
904 7TH AVE
SEATTLE, WA 981041132
Phone: (206) 682-3447
Fax: (206) 682-8219
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 520-5700
Type: Mailing
1959 NE Pacific St
3rd Floor NN 300
Seattle, WA 981950001
Phone: (206) 598-4011
Type: Location
1145 Broadway
Seattle, WA 981224201
Phone: (206) 682-3447
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (206) 860-5414
Fax: (206) 720-8462
Type: Mailing
1145 BROADWAY
SEATTLE, WA 981224201
Phone: (206) 682-3447
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $188.
Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Glaukos Corporation ($188).
Total Amount
$188
General + Research + Ownership
Payments
2
Total payment records
General Amount
$188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $188 |
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: 2015-09-22
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 |
|---|---|---|---|---|
| I20150922002516 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 199 | 133 | $0 |
| 92014 | Established patient complete exam of visual system | 147 | 134 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 138 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 107 | $0 |
| 92133 | Imaging of optic nerve | 108 | 107 | $0 |
Insurance plans in this area (ZIP 98203)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | WA | |
| Nurse Practitioner | CA | |
| R H E U M A T O L O G Y | WA | |
| - | WA | |
| - | WA | |
| Internal Medicine | UT | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | WA | |
| Clinical Social Worker | WA | |
| N E P H R O L O G Y | WA | |
| - | WA |
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