Praveen Kumar Mambalam, M.D.
Anesthesiology · Interventional Pain Management · Pain Management · Psychiatry (CMS) · Edmonds, WA
At a glance
21616 76Th Ave W, Edmonds, WA 98026-7512
NPPES record updated May 23, 2023. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
21616 76Th Ave W Ste 102Edmonds, WA 98026-7512
Additional reported practice locations
155 Lilly Rd Ne Ste BOlympia, WA 985065028
Phone: 2065386300
Fax: 2065386301
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2004
- CMS specialties
- Anesthesiology · Interventional Pain Management · Pain Management · Psychiatry
Practice groups
- Pain And Spine Specialists Of Maryland Llc
- Pain Care Physicians Pllc
- Washington Pain And Spine Specialists Llc
Reported hospital affiliations
- Grays Harbor Community Hospital Aberdeen, WA
- Providence Centralia Hospital Centralia, WA
- Providence St Peter Hospital Olympia, WA
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $2,930.45 |
| Travel and lodging | $2,054.86 |
Reporting companies
| Company | Amount |
|---|---|
| BOSTON SCIENTIFIC CORPORATION | $2,728.18 |
| SPINEFRONTIER, INC. | $1,248.30 |
| ABBOTT LABORATORIES | $366.05 |
| BIOTRONIK NRO, INC. | $197.57 |
| MEDTRONIC, INC. | $132.82 |
| COLLEGIUM PHARMACEUTICAL, INC. | $103.04 |
| NALU MEDICAL, INC. | $39.12 |
| SPR THERAPEUTICS, INC | $37.46 |
| Other reporting companies | $132.77 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Anesthesiology · Interventional Pain Management · Pain Management · Psychiatry (CMS)
- Taxonomy code
- 207LP2900X
- Enumeration date
- May 17, 2008
- Record updated
- May 23, 2023
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- M.D.
Reported taxonomies and licenses
207LP2900X · Primary
License reported: MD 00049423 WA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
21616 76Th Ave WSte 102
Edmonds, WA 98026-7512
- Phone
- (425) 774-1538
- Fax
- (425) 744-1527
Mailing address
PO BOX 827BELLEVUE, WA 980090827
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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