Praveen Mambalam, M.D.
Praveen Mambalam, M.D. is a Pain Medicine (Anesthesiology) Physician in Edmonds, WA, registered under NPI 1790942886.
Getting there
The practice address on file is 21616 76TH AVE W STE 102, Edmonds, WA 98026. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD 00049423 | WA | Pain Medicine (Anesthesiology) Physician primary |
This provider holds licence MD 00049423 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Anesthesiology
- PAC ID
- 5597822387
Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pain Medicine covers
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. NUCC Health Care Provider Taxonomy, code 207LP2900X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790942886 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 17, 2008 |
| Last updated | May 23, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
21616 76TH AVE W STE 102 Edmonds, WA 98026 (425) 774-1538 Fax (425) 744-1527 |
| Mailing address |
PO BOX 827 Bellevue, WA 98009 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 9 | 4 | 2 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 9 | 4 | 4 | 8 | 7 |
Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.