DR. PRABHAKAR P. KESAVA (MD) – Neuroradiology Physician, NPI 1477556868

DR. PRABHAKAR P. KESAVA (MD) is a healthcare provider. based in Lynnwood, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. K4102 (TX). The NPI Number for DR. PRABHAKAR P. KESAVA (MD) is 1477556868

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRABHAKAR P. KESAVA (MD)
NPI
1477556868
Phone
(425) 563-1500
Address
19020 33RD AVE W STE 210
Enumeration Date
31 May 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
2103584000
Graduation Year
1989 (37 years ago)
PAC ID
6204740194
Group Practice PAC ID
0042128548
Professional Enrollment ID
I20031114000559
Address ID
TX782294402SA4502XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:21State licenses:2Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

Loading map...

Provider Addresses for DR. PRABHAKAR P. KESAVA (MD)

  • 33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States

    LYNNWOOD, WA 980364748

    Phone: (425) 563-1500

    Fax: (425) 563-1374

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2003-11-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031114000559IDiagnostic RadiologyTXTBD

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
A9585Injection, gadobutrol, 0.1 ml14,215149$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml5,00064$0
70450Ct scan head or brain without contrast256234$0
70553Mri scan of brain before and after contrast175168$0
70551Mri scan of brain without contrast109107$0
View full utilization report →

Insurance plans in this area (ZIP 98036)

Loading plans...

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: 0042128548View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for DR. PRABHAKAR P. KESAVA (MD)?
The registry entry for DR. PRABHAKAR P. KESAVA (MD) shows NPI 1477556868.
Does the public listing show DR. PRABHAKAR P. KESAVA (MD) as active?
DR. PRABHAKAR P. KESAVA (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. PRABHAKAR P. KESAVA (MD)'s listing?
DR. PRABHAKAR P. KESAVA (MD)'s public classification highlights Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. PRABHAKAR P. KESAVA (MD)?
DR. PRABHAKAR P. KESAVA (MD) is associated with Lynnwood, Washington in the same public data insurers reference.
Who maintains DR. PRABHAKAR P. KESAVA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

DR. ALAN D S CHAN (MD)

Diagnostic Radiology Physician
19020 33RD AVE W STE 210
NPI: 1609863240

DR. MITCHELL PATRICK KOK (MD)

Neuroradiology Physician
413 Lilly Rd NE
NPI: 1831175421
4660 S Hagadorn Rd Ste 410
NPI: 1356328280

DR. MILTON LOWELL VAN HISE (MD)

Diagnostic Radiology Physician
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
NPI: 1841278306

DR. PEDRO T. VIECO (M.D.)

Neuroradiology Physician
19020, 33rd Avenue West, Lynnwood, Snohomish County, Washington, 98036, United States
NPI: 1669450128

DR. BONNIE J. WITRAK (MD)

Neuroradiology Physician
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
NPI: 1720066293
203 S Western Ave
NPI: 1790759629

DR. MARK J. PFLEGER (M.D.)

Diagnostic Radiology Physician
19020, 33rd Avenue West, Lynnwood, Snohomish County, Washington, 98036, United States
NPI: 1629042346

DR. ERIC ANTHONY KINDER (MD)

Diagnostic Radiology Physician
3927 Rucker Ave
NPI: 1528027448