PNC PODIATRY OF WASHINGTON PLLC – Foot & Ankle Surgery Podiatrist, NPI 1316815889

PNC PODIATRY OF WASHINGTON PLLC is a healthcare provider. based in Mill creek, Washington. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for PNC PODIATRY OF WASHINGTON PLLC is 1316815889

Main info

Organization
Name
PNC PODIATRY OF WASHINGTON PLLC
NPI
1316815889
Phone
(425) 537-3777
Address
16030 BOTHELL EVERETT HWY STE 160
Authorized Official
ALEXANDER REYZELMAN CMO DPM
Enumeration Date
27 October 2025
Last Update Date
27 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for PNC PODIATRY OF WASHINGTON PLLC

  • 16030 BOTHELL EVERETT HWY STE 160

    MILL CREEK, WA 980121794

    Phone: (425) 537-3777

    Fax: (425) 407-5502

    Type: Location

  • PO BOX 36326

    BELFAST, ME 049151205

    Phone: (425) 537-3777

    Fax: (425) 407-5502

    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: 2026-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20260112000869OPhysician - PodiatryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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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 98012)

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Reviews

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Frequently asked questions

Can I cross-check PNC PODIATRY OF WASHINGTON PLLC using NPI 1316815889?
NPI 1316815889 belongs to PNC PODIATRY OF WASHINGTON PLLC; compare other details if you need extra assurance.
Would PNC PODIATRY OF WASHINGTON PLLC appear as active to a payer?
You can treat PNC PODIATRY OF WASHINGTON PLLC as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with PNC PODIATRY OF WASHINGTON PLLC?
PNC PODIATRY OF WASHINGTON PLLC's record emphasizes Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Washington is PNC PODIATRY OF WASHINGTON PLLC registered?
Use Mill Creek, Washington as the headline location for PNC PODIATRY OF WASHINGTON PLLC here.
Does PNC PODIATRY OF WASHINGTON PLLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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