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WESTERN WASHINGTON MEDICAL GROUP INC PS
NPI 1659241875
Pain Medicine - Interventional Pain Medicine in Everett, WA

Active since November 11, 2025
12728 19TH AVE SE STE 300, EVERETT, WA 98208(425) 212-3130(425) 320-1187 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Western Washington Medical Group Inc Ps NPPES

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

WESTERN WASHINGTON MEDICAL GROUP INC PS (NPI 1659241875), doing business as Wwmg Dept Of Interventional Pain Medicine, is a healthcare organization registered as an interventional pain medicine in Everett, Washington and active in the NPI registry since November 2025. The organization lists David Russian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659241875
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP INC PS
Location Address12728 19TH AVE SE STE 300Everett, WA 98208-6676
Mailing Address1728 W Marine View Dr Ste 110Everett, WA 98201-2094 · (425) 259-4041 · Fax (425) 320-1187
Phone(425) 212-3130
Fax(425) 320-1187
Organization SubpartYes
Authorized OfficialDavid RussianCeo · (425) 259-4041
Enumeration DateNovember 11, 2025
Last NPPES UpdateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1659241875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
12728 19TH AVE SE STE 300, Everett, WA 98208
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Other Names 1

Doing Business AsWwmg Dept Of Interventional Pain Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Western Washington Medical Group Inc Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Western Washington Medical Group Inc Ps, which bills Medicare for the services they deliver. Of these, 31 practice at this address and 67 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner23
Family Practice11
Pulmonary Disease9
Critical Care (Intensivists)8
Orthopedic Surgery8
Gastroenterology6
Cardiovascular Disease (Cardiology)4
Clinical Psychologist3
13 other specialties18

Nearest to this location (20)

See all 90
Taylor Briggs, DNP, APRN, ACNPC-AG
Nurse Practitioner
NPI 1841056033
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts MedicareSame address
Kongkiat Chaikriangkrai, M.D.
Cardiovascular Disease (Cardiology)
NPI 1235493255
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts MedicareSame address
Michael Chen, DO
Cardiovascular Disease (Cardiology)
NPI 1679070080
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts MedicareSame address
Vinaya Chepuri, MD
Interventional Cardiology
NPI 1588611347
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts MedicareSame address
Noella Cortinas, MD
Critical Care (Intensivists)
NPI 1942837497
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts MedicareSame address
Michael Duong, MD
Interventional Cardiology
NPI 1043256803
12728 19TH AVENUE SE SUITE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts MedicareSame address
Sanjeev Garhwal, MD
Cardiac Electrophysiology
NPI 1558317651
12728 19TH AVENUE SE SUITE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts MedicareSame address
Sarah Gattis, ARNP
Nurse Practitioner
NPI 1497472815
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 317-8025
✔ PECOS✔ Accepts MedicareSame address
Ya Lan Huang, MD
Nephrology
NPI 1013957661
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-6801
✔ PECOS✔ Accepts MedicareSame address
Thiago Jabuonski, MD
Critical Care (Intensivists)
NPI 1053685107
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts MedicareSame address
Darya Khalili, ARNP
Nurse Practitioner
NPI 1275192841
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts MedicareSame address
Michael Liang, MD, PHD
Critical Care (Intensivists)
NPI 1669675872
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts MedicareSame address
Victoria Longstreth, ARNP
Nurse Practitioner
NPI 1366927253
12728 19TH AVE SE
Everett, WA 98208
(425) 317-8025
✔ PECOS✔ Accepts MedicareSame address
Ravilla Mahidhar, MD
Interventional Cardiology
NPI 1134346836
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts MedicareSame address
Thomas Richardson, MD
Cardiovascular Disease (Cardiology)
NPI 1609817295
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts MedicareSame address
David Russian, MD
Pulmonary Disease
NPI 1376582981
12728 19TH AVE. SE SUITE 200
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts MedicareSame address
Rafael Wabl, MD
Neurology
NPI 1467803700
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts MedicareSame address
Julie Wood-Mcclure, MD
Pulmonary Disease
NPI 1962459719
12728 19TH AVE. SE SUITE 200
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts MedicareSame address
Catherine Yee, MD
Physical Medicine and Rehabilitation
NPI 1619264009
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 212-3130
✔ PECOS✔ Accepts MedicareSame address
Shoaib Fakhri, MD
Pulmonary Disease
NPI 1992200844
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts MedicareSame address
See all 90 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Washington Medical Group Inc Ps's NPI number?

The NPI number for Western Washington Medical Group Inc Ps is 1659241875. It was assigned to this organization in the NPPES registry on November 11, 2025. The provider is doing business as WWMG Dept of Interventional Pain Medicine.

Where is Western Washington Medical Group Inc Ps located?

Western Washington Medical Group Inc Ps is located at 12728 19th Ave SE Ste 300, Everett, WA 98208. The listed phone number is (425) 212-3130.

What is Western Washington Medical Group Inc Ps's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Western Washington Medical Group Inc Ps enrolled in Medicare?

Yes. Western Washington Medical Group Inc Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Western Washington Medical Group Inc Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 21 Medicare specialties reassign their Medicare billing to Western Washington Medical Group Inc Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (23), Family Practice (11) and Pulmonary Disease (9). Of these, 31 practice at this address and 67 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Western Washington Medical Group Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Western Washington Medical Group Inc Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Washington Medical Group Inc Ps was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.