Mak Abulhosn Podiatry Services PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MAK ABULHOSN PODIATRY SERVICES PLLC

Practice address

3040 78TH Ave SE Unit 959
Mercer Island, WA 98040-3685

Phone

(206) 949-2869

NPI assigned

Jul 30, 2025

Organization subpart

No

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

Authorized official

Name

Mak Abulhosn, DPMNPI 1356524060

Title

Owner

Phone

(206) 949-2869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mak Sami Abulhosn, DPM

  • Podiatrist
  • Mercer Island, WA
  • NPI 1356524060
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1033092515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 78TH AVE SE UNIT 959",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403685",
            "telephone_number": "206-949-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 78TH AVE SE UNIT 959",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403685",
            "telephone_number": "206-949-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK ABULHOSN PODIATRY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "ABULHOSN",
        "authorized_official_first_name": "MAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-949-2869",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luna Healthcare, LLC (Sonus Hearing Care Professionals)
• Keith Alexander Luther, MD
• Regina Ma
• Matthew Salamat Maglalang, PHARM.D.
• Liam Main
• Shelley M Malcolm, MS, CN
• Jill A Manasco, OT
• Theodore Dungan Mandelkorn, MD
• Nancy Mar
• Mark Germack DDS PLLC

• Podiatrist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.