Praveen Kumar Mambalam, M.D.
Pain Medicine (Anesthesiology) Physician · Edmonds, WA
Praveen Kumar Mambalam, M.D. is a pain medicine (anesthesiology) physician with a practice address in Edmonds, Washington, and NPI 1790942886, issued on May 17, 2008. Check the license (Washington MD 00049423, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.
- Name
- Praveen Kumar Mambalam
- Credential
- M.D.
- Primary taxonomy
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License number
- MD 00049423 WA
Self-reported in NPPES; status is on the state search - Practice location
- 21616 76TH Ave W, Edmonds, WA 98026
- Phone
- (425) 774-1538
- Enumerated
- May 17, 2008
- Record last updated
- May 23, 2023
- Fax
- (425) 744-1527
- Medicare enrollment
- Enrolled (PECOS I20240223002411); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pain medicine (anesthesiology) physician records → All 106 in Washington → Look up another NPI →
Also registered at 21616 76TH Ave W
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Henry Chang, MDOtolaryngology Physician1023102118
Verify Praveen Kumar Mambalam in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWashington Medical Commission
Search for license MD 00049423Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
55% fewer Medicare Part D claims than the average pain medicine (anesthesiology) physician in 2024
785 Medicare Part D claims for 123 beneficiaries, against an average of 1,750 among the 2,982 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 592 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen169 claims
- Oxycodone-Acetaminophen114 claims
- Oxycodone Hcl102 claims
- Buprenorphine94 claims
- Gabapentin45 claims
- Belbuca37 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,646.98
39 payments; by number, the most common kind was food and beverage; the largest payer was SI-Bone, Inc. The 2,789 providers of this specialty with any payment received $3,225.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 3 group practices
- Pain And Spine Specialists OF Maryland LLCMount Airy, MD
- Pain Care Physicians PLLCRenton, WA
- Washington Pain And Spine Specialists LLCOlympia, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Praveen Kumar Mambalam among 106 pain medicine (anesthesiology) physician records in Washington
Praveen Kumar Mambalam, M.D. is one of 106 pain medicine (anesthesiology) physician records with a practice address in Washington. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 51% of them.
- NPI issued2008 · 51% of these records are older, 42% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2004 · median 2006 among the 71 with a school on file
- Record last updated2023 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207LP2900X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pain Medicine (Anesthesiology) Physician providers in Washington
There are 106 pain medicine (anesthesiology) physician records in Washington.
All 106 in Washington → Every provider in Edmonds → Pain Medicine (Anesthesiology) Physician nationwide →
The 8 pain medicine (anesthesiology) physician records with the nearest ZIP codes
- Rajni Jutla, MDEdmonds, WA 980261467564484
- Brendan O'DonnellEdmonds, WA 980261114017068
- Howard Quint, M.D.Edmonds, WA 980261497984850
- Jason Kim, MDIssaquah, WA 980271265534036
- Xing Fu, MDBothell, WA 980211225172620
- Julian Klos, MDKirkland, WA 980341023062635
- Jennifer Lee, MDKirkland, WA 980341922201581
- Donald Zimmermann, MDKirkland, WA 980341942254990
Common questions
What is Praveen Kumar Mambalam, M.D.'s NPI number?
Praveen Kumar Mambalam, M.D.'s National Provider Identifier (NPI) is 1790942886, issued on May 17, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Praveen Kumar Mambalam, M.D. located?
The NPPES record lists a practice address at 21616 76TH Ave W, Edmonds, WA, 98026. Phone: (425) 774-1538. Providers update this record themselves, so call before visiting.
How can I verify Praveen Kumar Mambalam, M.D.'s license?
NPPES lists Washington license number MD 00049423, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Praveen Kumar Mambalam, M.D. prescribe under Medicare Part D?
In 2024, Praveen Kumar Mambalam, M.D. had 785 Medicare Part D claims for 123 beneficiaries; the average among pain medicine (anesthesiology) physician prescribers was 1,750. Part D covers Medicare prescriptions only.
What is Praveen Kumar Mambalam, M.D.'s MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.