DR. CHITRA FERNANDO (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1659598688
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CHITRA FERNANDO (M.D.)
1750 112TH AVE NE
SUITE A101
BELLEVUE, WA 980043752
Phone: (425) 688-5582
Type: Mailing
3364 BEYER BLVD
SAN YSIDRO, CA 921731322
Phone: (619) 662-4100
Type: Location
1601 PRECISION PARK LN
SAN DIEGO, CA 921731345
Phone: (619) 662-4100
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: 2023-08-22
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 |
|---|---|---|---|---|
| I20080902000550 | I | Geriatric Medicine | WA | TBD |
| I20230822000729 | I | Geriatric Medicine | CA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 158 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 40 | 40 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 33 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 98004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| Qualified Speech Language Pathologist | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Nurse Practitioner | TX | |
| - | WA |
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