Sushmita Mantravadi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD70131283 Issued in WA

Practice address

19116 33Rd Ave W
Lynnwood, WA 98036-4706

Phone

(425) 712-7900

Fax

(425) 712-7905

NPI assigned

Apr 24, 2023

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1578250056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741515",
            "telephone_number": "425-712-7900",
            "fax_number": "425-712-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19116 33RD AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364706",
            "telephone_number": "425-712-7900",
            "fax_number": "425-712-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTRAVADI",
        "first_name": "SUSHMITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD70131283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Manire
• Hadiya Manners
• Kristin Ann Manning, M.D.
• Mary E Manning, RPH
• Manor Care of Lynnwood Wa, Association (ProMedica Skilled Nursing and Rehabilitation (Lynnwood))
• Maraki Nursing Care Services (Trusted Hands Private Duty Nurse)
• Olivia Grace Marbet
• Harrison Patrick March, MD
• Molly Marchion
• Kristie Jo Marlett, PHARM D

• Internal Medicine Physician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.