WASHINGTON PAIN AND SPINE SPECIALISTS LLC – Pain Clinic/Center, NPI 1992486906

WASHINGTON PAIN AND SPINE SPECIALISTS LLC is a healthcare provider. based in Bellevue, Washington. specializing in Pain Clinic/Center. The NPI Number for WASHINGTON PAIN AND SPINE SPECIALISTS LLC is 1992486906

Main info

Organization
Name
WASHINGTON PAIN AND SPINE SPECIALISTS LLC
NPI
1992486906
Phone
(240) 463-4101
Address
4957 LAKEMONT BLVD SE STE C-425
Authorized Official
DR. PRAVEEN KUMAR MAMBALAM OWNER MD
Enumeration Date
31 July 2023
Last Update Date
31 July 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for WASHINGTON PAIN AND SPINE SPECIALISTS LLC

  • 4957 LAKEMONT BLVD SE STE C-425

    BELLEVUE, WA 980067801

    Phone: (240) 463-4101

    Type: Mailing

  • 3525 ENSIGN RD NE STE J

    OLYMPIA, WA 985065065

    Phone: (240) 463-4101

    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: 2024-02-14

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
O20240214003694OClinic/Group PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98006)

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Reviews

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Frequently asked questions

What is WASHINGTON PAIN AND SPINE SPECIALISTS LLC's NPI number?
WASHINGTON PAIN AND SPINE SPECIALISTS LLC's NPI is 1992486906 — the number used across U.S. healthcare to identify this provider.
Is WASHINGTON PAIN AND SPINE SPECIALISTS LLC shown as active in public data?
Registry records indicate WASHINGTON PAIN AND SPINE SPECIALISTS LLC maintains an active NPI.
What area of care is associated with WASHINGTON PAIN AND SPINE SPECIALISTS LLC?
WASHINGTON PAIN AND SPINE SPECIALISTS LLC's record emphasizes Pain Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WASHINGTON PAIN AND SPINE SPECIALISTS LLC?
Travel planning: use Bellevue, Washington as the reference point for WASHINGTON PAIN AND SPINE SPECIALISTS LLC, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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