DR. VITALIY P NATKHA (DO) – Trauma Surgery Physician, NPI 1215382015
Trauma Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
826 GENERAL SURGERY in WA
Provider Addresses for DR. VITALIY P NATKHA (DO)
1802 YAKIMA AVE STE 104
TACOMA, WA 984055303
Phone: (253) 426-6272
Fax: (253) 426-4060
Type: Mailing
Texas Tech Health Sciences Center, 3601, 4th Street, Lubbock, Lubbock County, Texas, 79415, United States
LUBBOCK, TX 794300002
Phone: (806) 743-1000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $3,395.
Total Amount is formed as General ($3,395) + Research ($0) + Ownership ($0) = $3,395.
Last reported payment date: 2024-10-05 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,117).
Total Amount
$3,395
General + Research + Ownership
Payments
16
Total payment records
General Amount
$3,395
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,117 |
| Heron Therapeutics, Inc. | $63 |
| CSL Behring | $49 |
| Inari Medical, Inc. | $48 |
| ABBVIE INC. | $38 |
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: 2024-09-19
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 |
|---|---|---|---|---|
| I20240919002469 | I | General Surgery | 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 98405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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