NORTHWEST FOOT AND ANKLE CENTER, PS – Podiatrist, NPI 1346265261
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NORTHWEST FOOT AND ANKLE CENTER, PS
9399 Ridgetop Blvd NW Ste A
Silverdale, WA 983838505
Phone: (360) 900-2626
Fax: (360) 900-2088
Type: Location
11212 Sunrise Blvd E Ste 203
Puyallup, WA 983748847
Phone: (253) 841-4262
Fax: (253) 841-7112
Type: Location
16025 NE 85th St Ste 102
Redmond, WA 980523551
Phone: (425) 439-7005
Fax: (425) 439-7006
Type: Location
Cascade Vision Center, 4300, Talbot Road South, Renton, King County, Washington, 98055, United States
SUITE 102
RENTON, WA 980556238
Phone: (425) 277-3668
Fax: (425) 277-0732
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: 2019-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (159 days ago).
Enrollment records
2
Earliest due date
2025-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040317000292 | O | Clinic/Group Practice | WA | TBD |
| O20191209001691 | O | Physician - Podiatry | WA | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 98383)
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