JAKDEJ NIKOMBORIRAK (M.D.) – Sleep Medicine (Internal Medicine) Physician, NPI 1477542447
Sleep Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
102 SLEEP MEDICINE in WA
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Provider Addresses for JAKDEJ NIKOMBORIRAK (M.D.)
PO BOX 11648
BAINBRIDGE ISLAND, WA 981105648
Phone: (360) 344-3701
Fax: (360) 344-3702
Type: Mailing
9638, Northeast Lafayette Avenue, Port Madison, Bainbridge Island, Kitsap County, Washington, 98342, United States
BAINBRIDGE ISLAND, WA 981101115
Phone: (360) 344-3701
Fax: (360) 344-3702
Type: Location
1013 E EDISON AVE
SUNNYSIDE, WA 989441115
Phone: (509) 837-1587
Type: Location
834 Sheridan St
Port Townsend, WA 983682443
Phone: (360) 379-2249
Fax: (360) 379-2298
Type: Location
203 S Western Ave
Tonasket, WA 988558803
Phone: (509) 486-2151
Fax: (509) 223-1721
Type: Location
PO BOX 719
SUNNYSIDE, WA 989440719
Phone: (509) 837-1617
Type: Mailing
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 $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Itamar Medical Inc ($46).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Itamar Medical Inc | $46 |
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: 2020-12-31
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 |
|---|---|---|---|---|
| I20041227000267 | I | Sleep Medicine | WA | TBD |
| I20201231001072 | I | Sleep Medicine | OR | 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 98110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SLEEP MEDICINE | WA | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Family Practice, Hospitalist | WA | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Internal Medicine | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| - | WA |
Reviews
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