Active NPI
Padhma Venkitapathy
- Foot & Ankle Surgery Podiatrist
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO60841435
- Practice address
- 10555 SE Carr Rd
Renton, WA 98055 - Phone
- (425) 690-3510
- Fax
- (425) 690-9510
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO60841435 | WA | Primary |
Addresses
Primary practice location
10555 SE Carr Rd
Renton, WA 98055
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4970
Phone (425) 690-2715
Other practice location 1
10555 SE Carr Rd
Renton, WA 98055
Phone (425) 690-3510
Other practice location 2
17 E 102nd St # 7th
Floor Number 1087
New York, NY 10029-5204
Phone (212) 659-8551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10555 SE Carr Rd
BLDG M
Renton, WA 98055-5820
Phone (425) 656-4270
Hospital & facility affiliations
- Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 34 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 69 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO60841435 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
10555 SE Carr Rd
Bldg M
Renton, WA 98055
Phone (425) 656-4270
1205 N 10th St
Ste A
Renton, WA 98057
Phone (425) 656-4211
3600 Lind Ave SW
Ste 100
Renton, WA 98057
Interoperability endpoints
- pvenkitapathy80401@direct.valleymed.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Surgery Physician
- Renton, WA
- NPI 1609932102
-
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1003202870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100 ATTN CREDENTIALING",
"city": "RENTON",
"state": "WA",
"postal_code": "980574970",
"telephone_number": "425-690-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10555 SE CARR RD",
"city": "RENTON",
"state": "WA",
"postal_code": "98055",
"telephone_number": "425-690-3510",
"fax_number": "425-690-9510"
}
],
"practiceLocations": [
{
"address_1": "10555 SE Carr Rd",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "98055",
"country_code": "US",
"telephone_number": "425-690-3510",
"fax_number": "425-690-9510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 E 102nd St # 7th",
"address_2": "Floor Number 1087",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100295204",
"country_code": "US",
"telephone_number": "212-659-8551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENKITAPATHY",
"first_name": "PADHMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO60841435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.