DR. RAZAN R AL KUDSI (MD) – Nephrology Physician, NPI 1497790687
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
279 NEPHROLOGY in WA
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Provider Addresses for DR. RAZAN R AL KUDSI (MD)
5831 153RD AVE SE
BELLEVUE, WA 980065339
Phone: (206) 242-8837
Fax: (206) 431-5549
Type: Mailing
Three Tree Medical Arts Building, 16259, Sylvester Road Southwest, Five Corners, Burien, King County, Washington, 98166, United States
SUITE 401
BURIEN, WA 981663049
Phone: (206) 242-8837
Fax: (206) 431-5549
Type: Mailing
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: 2007-03-21
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 |
|---|---|---|---|---|
| I20070321000438 | I | Nephrology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 68 | 14 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 45 | 16 | $0 |
Insurance plans in this area (ZIP 98006)
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Provider's Procedures
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