Calvin Mulyadi, CRNA
NPI 1134897317ActiveIndividual· Nurse Anesthetist, Certified Registered· Seattle, WA
Nurse Anesthetist, Certified Registered (CRNA) with Virginia Mason Medical Center and 2 other groups, practicing in Seattle, Washington. Medicare paid $11,976 for services to 100 patients in 2024. Avanos Medical reported $115.65 in payments in 2025, mostly food and beverage. Lists Kadlec Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1134897317 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Sep 1, 2021 |
| Last updated in NPPES | Sep 27, 2024 |
| Certified by provider | Sep 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | AP61559160 | WA |
| Registered Nurse | 163W00000X | 1-183227 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 100 |
|---|---|
| Services billed | 103 across 36 procedure codes |
| Paid by Medicare | $11,976 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Virginia Mason Medical CenterSeattle, WA · 867 clinicians
- Premier Anesthesia of Richland A Division of Premier Anesthesia, LLCRichland, WA · 91 clinicians
- Providence Wa Anesthesia Services, PCEverett, WA · 84 clinicians
Hospital affiliations
- Kadlec Regional Medical CenterRichland, WA
- Providence Regional Medical Center EverettEverett, WA
- Virginia Mason Medical CenterSeattle, WA
Industry payments (Open Payments)
- 2025$115.65 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Avanos Medical | $115.65 | 1 |
What the 2025 payments were for
- Food and Beverage$115.65 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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