MD MED SPA PLLC
NPI 1962392936
Family Medicine in Redmond, WA
About Md Med Spa Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MD MED SPA PLLC (NPI 1962392936) is a healthcare organization registered as a family medicine in Redmond, Washington and active in the NPI registry since July 2025. The organization lists Dhirendra Kumar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Md Med Spa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to MD Med Spa PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 MD Med Spa PLLC's NPI number?
The NPI number for MD Med Spa PLLC is 1962392936. It was assigned to this organization in the NPPES registry on July 9, 2025.
Where is MD Med Spa PLLC located?
MD Med Spa PLLC is located at 4018 16th Ave NE, Redmond, WA 98052. The listed phone number is (425) 307-6727.
What is MD Med Spa PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is MD Med Spa PLLC enrolled in Medicare?
Yes. MD Med Spa PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through MD Med Spa PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to MD Med Spa PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for MD Med Spa PLLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Md Med Spa Pllc · NPI 1962392936
Family Medicine organization in Redmond, Washington. Organization record, active in the CMS NPPES registry since July 9, 2025.
## Identity
- **NPI:** 1962392936 (Entity type: Organization)
- **Enumerated:** July 9, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Dhirendra Kumar, OWNER
## Practice location
- **Address:** 4018 16TH AVE NE, Redmond, WA 98052
- **Phone:** (425) 307-6727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962392936) · Data from the CMS NPPES public registry.