Swedish Radia Edmonds – Diagnostic Radiology Physician, NPI 1164494373
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Swedish Radia Edmonds
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1501
Type: Mailing
Swedish Radia Imaging Center, 21700, Pacific Highway, Edmonds, Snohomish County, Washington, 98026, United States
EDMONDS, WA 980268034
Phone: (425) 640-4949
Type: Location
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: 2025-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (101 days ago).
Enrollment records
25
Earliest due date
2026-02-28
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 |
|---|---|---|---|---|
| O20060106000841 | O | Clinic/Group Practice | WA | TBD |
| O20200423001614 | O | Clinic/Group Practice | CA | 2026-02-28 |
| O20220107000712 | O | Clinic/Group Practice | HI | TBD |
| O20220627001939 | O | Clinic/Group Practice | UT | TBD |
| O20220802003710 | O | Clinic/Group Practice | FL | TBD |
| O20220808002107 | O | Clinic/Group Practice | VA | TBD |
| O20220811002145 | O | Clinic/Group Practice | OR | TBD |
| O20220811002574 | O | Clinic/Group Practice | AZ | TBD |
| O20221107000202 | O | Clinic/Group Practice | MA | TBD |
| O20221203000147 | O | Clinic/Group Practice | TX | TBD |
| O20231101001205 | O | Clinic/Group Practice | GA | TBD |
| O20240104000245 | O | Clinic/Group Practice | MI | TBD |
| O20240209000999 | O | Clinic/Group Practice | NE | TBD |
| O20240222002048 | O | Clinic/Group Practice | AL | TBD |
| O20240412001801 | O | Clinic/Group Practice | DC | TBD |
| O20240425003139 | O | Clinic/Group Practice | NC | TBD |
| O20240521001629 | O | Clinic/Group Practice | PA | TBD |
| O20240606001126 | O | Clinic/Group Practice | MO | TBD |
| O20240607003367 | O | Clinic/Group Practice | MD | TBD |
| O20240806001140 | O | Clinic/Group Practice | NV | TBD |
| O20240806003399 | O | Clinic/Group Practice | ID | TBD |
| O20240925002801 | O | Clinic/Group Practice | SC | TBD |
| O20241008003925 | O | Clinic/Group Practice | IA | TBD |
| O20250721000718 | O | Clinic/Group Practice | OH | TBD |
| O20250827003248 | O | Clinic/Group Practice | CO | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 98036)
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