Alpha Spine and Pain Clinic PLLC
NPI 1669178984ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Bellevue, WA
Pain Medicine, Interventional Pain Medicine in Bellevue, Washington, registered in NPPES in February 2023. The authorized official on file is Praveen Kumar Mambalam, Md.
Overview
| NPI | 1669178984 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2023 |
| Last updated in NPPES | Feb 7, 2023 |
| Certified by provider | Feb 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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