SOPALLA DUL – Physician Assistant, NPI 1205364817

SOPALLA DUL is a healthcare provider. based in Enumclaw, Washington. specializing in PHYSICIAN ASSISTANT. They hold a License No. 60863880 (WA). The NPI Number for SOPALLA DUL is 1205364817

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SOPALLA DUL
NPI
1205364817
Phone
(360) 802-8800
Address
1455 Battersby Ave
Enumeration Date
25 May 2017
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4252515255
Graduation Year
2018 (8 years ago)
PAC ID
0042556284
Group Practice PAC ID
8224937917
Professional Enrollment ID
I20190109002315
Address ID
WA980555709RE4033XSXXX401

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for SOPALLA DUL

  • 1455 Battersby Ave

    Enumclaw, WA 980223634

    Phone: (360) 802-8800

    Type: Location

  • 7106, 29th Avenue Southwest, High Point, Seattle, King County, Washington, 98126, United States

    SEATTLE, WA 981263317

    Phone:

    Type: Mailing

  • 140, Southwest 146th Street, Burien, King County, Washington, 98166, United States

    BURIEN, WA 98166

    Phone: (206) 901-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $525.

Total Amount is formed as General ($525) + Research ($0) + Ownership ($0) = $525.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Lantheus Medical Imaging, Inc. ($279).

Total Amount

$525

General + Research + Ownership

Payments

3

Total payment records

General Amount

$525

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

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: 2025-07-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190109002315IPhysician AssistantWATBD
I20250725003062IPhysician AssistantORTBD

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
49083Drainage of fluid from abdominal cavity using imaging guidance13335$0
32555Aspiration of fluid from chest cavity using imaging guidance10455$0
74230Imaging for evaluation of swallowing function8984$0
10005Fine needle aspiration biopsy using ultrasound guidance, first growth4443$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2217$0
View full utilization report →

Insurance plans in this area (ZIP 98022)

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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: 8224937917View full group profile
NameSpecialtyState
Interventional RadiologyWI
Physician AssistantWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Interventional Radiology, Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyOH
Diagnostic RadiologyWA
Diagnostic RadiologyWA

Reviews

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Frequently asked questions

Does SOPALLA DUL share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SOPALLA DUL uses 1205364817.
Can I rely on SOPALLA DUL being an active provider?
As of the registry snapshot, SOPALLA DUL is marked active.
What healthcare role does SOPALLA DUL hold?
Scheduling teams often label SOPALLA DUL under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for SOPALLA DUL?
SOPALLA DUL's geographic hint is Enumclaw, Washington in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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