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PRABA JEYALINGAM M.D.
NPI 1811217706
Obstetrics & Gynecology - Gynecology in Gig Harbor, WA

Active since June 02, 2010PECOS EnrolledAccepts Medicare Assignment
11511 CANTERWOOD BLVD STE 145, GIG HARBOR, WA 98332(253) 530-2955(253) 530-2970 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Praba Jeyalingam M.d. NPPES

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

PRABA JEYALINGAM M.D. (NPI 1811217706) is an individual gynecology provider in Gig Harbor, Washington, licensed in Washington (MD70040222) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1811217706
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NamePRABA JEYALINGAMCredential: M.D.
Location Address11511 CANTERWOOD BLVD STE 145Gig Harbor, WA 98332-5800
Mailing Address11511 Canterwood Blvd Ste 145Gig Harbor, WA 98332-5800 · (253) 530-2955 · Fax (253) 530-2970
Phone(253) 530-2955
Fax(253) 530-2970
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 2, 2010
Last NPPES UpdateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1811217706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in WA · MD70040222
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD70040222 (WA), 285253 (NY)
11511 CANTERWOOD BLVD STE 145, Gig Harbor, WA 98332
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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, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Praba Jeyalingam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658666821
PECOS Enrollment IDI20260107000246
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Praba Jeyalingam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

King County Public Hospital District No 2
31 mi
Internal Medicine
11521 NE 128TH ST, STE 100
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
NPI 1548350713 (425) 899-6800
Mount St. Mary's Hospital Of Niagara Falls
2,117 mi
General Acute Care Hospital
5300 MILITARY RD
Lewiston, NY 14092
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Mount St. Marys Hospital Of Niagara Falls
  • 289 clinicians in this Medicare group
NPI 1417285891 (716) 298-2081
Kaleida Health
2,128 mi
General Acute Care Hospital
445 TREMONT ST
North Tonawanda, NY 14120
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1104956358 (719) 694-4500
Kenmore Mercy Hospital
2,129 mi
Rehabilitation Unit
2950 ELMWOOD AVE
Kenmore, NY 14217
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group
NPI 1164436283 (716) 447-6100
Sisters Of Charity Hospital Of Buffalo New York
2,132 mi
Obstetrics & Gynecology
2157 MAIN ST
Buffalo, NY 14214
  • Reassigned Medicare billing, New York enrollment
  • 515 clinicians in this Medicare group
NPI 1568090660 (716) 862-1000
Mercy Hospital Of Buffalo
2,136 mi
Skilled Nursing Facility
565 ABBOTT RD
Buffalo, NY 14220
  • Reassigned Medicare billing, New York enrollment
  • 499 clinicians in this Medicare group
NPI 1144262908 (716) 826-7000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98332 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
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Praba Jeyalingam's NPI number?

The NPI number for Praba Jeyalingam is 1811217706. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Praba Jeyalingam located?

Praba Jeyalingam practices at 11511 Canterwood Blvd Ste 145, Gig Harbor, WA 98332. The listed phone number is (253) 530-2955.

What is Praba Jeyalingam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Praba Jeyalingam enrolled in Medicare?

Yes. Praba Jeyalingam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Praba Jeyalingam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praba Jeyalingam reassigns Medicare benefits to 6 organizations: King County Public Hospital District No 2 (Kirkland, WA), Mount St. Mary's Hospital Of Niagara Falls (Lewiston, NY), Kaleida Health (North Tonawanda, NY), Kenmore Mercy Hospital (Kenmore, NY), Sisters Of Charity Hospital Of Buffalo New York (Buffalo, NY) and 1 more organization, listed in the Medicare section above. Each 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 Praba Jeyalingam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Praba Jeyalingam accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Praba Jeyalingam 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 Praba Jeyalingam was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.