Individual provider Active NPI

Andrew Goodeill, DPM

  • Podiatrist
  • Tumwater, WA
National Provider Identifier
1013261684
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO60317586 Issued in WA
Practice address
1610 Bishop Rd SW BLDG 7
Tumwater, WA 98512-7303
Phone
(360) 754-3338
Fax
(360) 753-4861
NPI assigned
Nov 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO60317586 WA Primary

Addresses

Primary practice location

1610 Bishop Rd SW BLDG 7
Tumwater, WA 98512-7303

Mailing address

1610 Bishop Rd SW BLDG 7
Tumwater, WA 98512-7303
Phone (360) 754-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130306000279 WA Practitioner - Podiatry 3476708991 Reassigns benefits to 2 organizations
I20200716000588 AZ Practitioner - Podiatry 3476708991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fasa Family Wellness PLLCGroup PAC ID 7618290297, 16 clinicians

Practice addresses (Care Compare)

1610 Bishop Rd SW
Suite 7
Tumwater, WA 98512-7303
Phone (360) 754-3338

Hospital & facility affiliations

  • Capital Medical Center Hospital, Olympia, WA, CCN 500139

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue316
Removal of skin lesions72
Removal of nail tissue1111
Removal or shaving of skin growth349
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fasa Family Wellness, PLLC Current Accepting new patients
Isb.Inc Podiatrist CurrentSince Jan 13, 2018 Accepting new patients
Fasa Family Wellness, PLLC Podiatrist CurrentSince Dec 2, 2024 Accepting new patients
Isb, Inc Podiatrist Current Accepting new patients
Foot Ankle Specialty Centers, LLC Podiatrist CurrentSince Aug 4, 2020 Accepting new patients
Fasa Family Wellness PLLC Podiatrist CurrentSince Dec 2, 2024 Accepting new patients

Locations

4915 E Baseline Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 812-3668

4845 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (602) 494-1817

1220 W 1st St
#B
Centralia, WA 98531
Phone (360) 736-4151

5210 Corporate Center Ct SE
Ste A
Lacey, WA 98503
Phone (360) 754-3338

2001 152nd Ave NE
Redmond, WA 98052
Phone (425) 643-8901

1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512
Phone (360) 754-3338

1610 Bishop Rd SW
Ste 7
Tumwater, WA 98512
Phone (360) 754-3338

1610 Bishop Rd SW
Bldg 7
Tumwater, WA 98512
Phone (314) 323-2727

3929 Bridgeport Way W
Ste 308
University Place, WA 98466
Phone (253) 272-2999

201 Tahoma Blvd
Unit 208
Yelm, WA 98597
Phone (360) 400-3338

Interoperability endpoints

  • Direct secure messaging: agoodeill@usfas.emadirect.md

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1013261684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW BLDG 7",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338",
            "fax_number": "360-753-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW BLDG 7",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338",
            "fax_number": "360-753-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEILL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60317586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.