PLATEAU FOOT AND ANKLE CLINIC PLLC – Foot & Ankle Surgery Podiatrist, NPI 1265991350

PLATEAU FOOT AND ANKLE CLINIC PLLC is a healthcare provider. based in Renton, Washington. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for PLATEAU FOOT AND ANKLE CLINIC PLLC is 1265991350

Main info

Organization
Name
PLATEAU FOOT AND ANKLE CLINIC PLLC
NPI
1265991350
Phone
(425) 208-5502
Address
16302 SE 135TH PL
Authorized Official
DR. KHANH LE MEMBER DPM
Enumeration Date
18 March 2019
Last Update Date
23 January 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for PLATEAU FOOT AND ANKLE CLINIC PLLC

  • 16302, Southeast 135th Place, East Renton Highlands, Renton, King County, Washington, 98059, United States

    RENTON, WA 980596823

    Phone: (425) 208-5502

    Type: Mailing

  • Foot and Ankle Clinic, 466, 228th Avenue Northeast, Sammamish, King County, Washington, 98074, United States

    SAMMAMISH, WA 980747209

    Phone: (425) 868-3338

    Type: Location

  • 466 228TH AVE NE

    SAMMAMISH, WA 980747209

    Phone: (425) 868-3338

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (145 days away).

Enrollment records

1

Earliest due date

2026-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210302002474OClinic/Group PracticeWA2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98059)

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Reviews

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Frequently asked questions

How do payers reference PLATEAU FOOT AND ANKLE CLINIC PLLC?
For PLATEAU FOOT AND ANKLE CLINIC PLLC, use NPI 1265991350 as the unique 10-digit identifier.
Active or inactive — what applies to PLATEAU FOOT AND ANKLE CLINIC PLLC?
You should see PLATEAU FOOT AND ANKLE CLINIC PLLC as active in CMS-hosted NPPES data.
What clinical focus is listed for PLATEAU FOOT AND ANKLE CLINIC PLLC?
At a glance, PLATEAU FOOT AND ANKLE CLINIC PLLC is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What locale is associated with PLATEAU FOOT AND ANKLE CLINIC PLLC?
Directory geography for PLATEAU FOOT AND ANKLE CLINIC PLLC centers on Renton, Washington.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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