Puget Sound Pain Clinic – Ambulatory Surgical Clinic/Center, NPI 1518354752
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Puget Sound Pain Clinic
7200 S 180th St Ste 104
Tukwila, WA 981885548
Phone: (253) 983-9390
Type: Location
7200 S 180TH ST
#102
TUKWILA, WA 981885548
Phone: (206) 805-6222
Fax: (425) 251-0566
Type: Mailing
11306 BRIDGEPORT WAY SW STE D
LAKEWOOD, WA 984993037
Phone: (253) 983-9390
Fax: (253) 983-0066
Type: Mailing
7200 S 180TH ST STE 102
TUKWILA, WA 981885548
Phone: (253) 983-9390
Fax: (253) 983-0066
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: 2019-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1042 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20190717002439 | O | Multi-Specialty - Physician | WA | 2023-07-31 |
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 98188)
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