DR. PREETHY PANKAJ (M.B.B.S) – Neurology Physician, NPI 1184062200
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
590 NEUROLOGY in WA
Provider Addresses for DR. PREETHY PANKAJ (M.B.B.S)
1959 NE PACIFIC ST # 356421
SEATTLE, WA 981956421
Phone: (206) 543-3605
Type: Mailing
1322 3RD ST SE
SUITE 240
PUYALLUP, WA 98372
Phone: (253) 697-1420
Fax: (253) 697-1439
Type: Location
420 DELAWARE ST SE, MMC 295
MINNEAPOLIS, MN 55455
Phone: (612) 624-7374
Fax: (612) 625-7150
Type: Mailing
420 DELAWARE ST SE,
MMC 295
MINNEAPOLIS, MN 55455
Phone: (612) 624-7374
Fax: (612) 625-7950
Type: Location
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: 2024-08-15
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 |
|---|---|---|---|---|
| I20170301002257 | I | Family Practice | WA | TBD |
| I20240815001184 | I | Neurology | MN | 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 98195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| - | MN | |
| Physician Assistant | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL | |
| Family Practice | IL |
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