Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSHMITA MANTRAVADI MD
NPI 1578250056
Internal Medicine in Lynnwood, WA

Q: What is Sushmita Mantravadi's NPI number?

The NPI number for Sushmita Mantravadi is 1578250056. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Sushmita Mantravadi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 24, 2023PECOS Enrolled

19116 33RD AVE W, LYNNWOOD, WA 98036(425) 712-7900(425) 712-7905 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sushmita Mantravadi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSHMITA MANTRAVADI MD (NPI 1578250056) is an individual internal medicine provider in Lynnwood, Washington, licensed in Washington (MD70131283) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578250056

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUSHMITA MANTRAVADICredential: MD

Location Address19116 33RD AVE WLynnwood, WA 98036-4706

Mailing AddressPo Box 741515Los Angeles, CA 90074-1515 · (425) 712-7900 · Fax (425) 712-7905

Phone(425) 712-7900

Fax(425) 712-7905

Sole ProprietorYes

Enumeration DateApril 24, 2023

Last NPPES UpdateOctober 13, 2026

NPPES CertifiedOctober 13, 2026

✔ NPI 1578250056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · MD70131283

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

19116 33RD AVE W, Lynnwood, WA 98036

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushmita Mantravadi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD KACHUN KONG DO

Internal Medicine