Individual provider Active NPI

Yan Rong Cullen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Kirkland, WA
National Provider Identifier
1063897916
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60894973 Issued in WA
Practice address
13030 121St Way NE Ste 204
Kirkland, WA 98034-3008
Phone
(425) 822-7426
NPI assigned
Jul 21, 2015
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006826 NY
Foot & Ankle Surgery Podiatrist 213ES0103X PO60894973 WA Primary

Addresses

Primary practice location

13030 121St Way NE Ste 204
Kirkland, WA 98034-3008

Mailing address

13030 121St Way NE Ste 204
Kirkland, WA 98034-3008
Phone (425) 822-7426

Other names 1

  • Yan Rong Chou Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226000563 WA Practitioner - Podiatry 0547510885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PNC Podiatry of Washington PLLCGroup PAC ID 3971950312, 13 clinicians

Practice addresses (Care Compare)

13030 121St Way NE
Suite 204
Kirkland, WA 98034-3008
Phone (425) 822-7426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.06 of 100Reported as group
Quality
65.39
Promoting interoperability
75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions1-10
Removal of nail tissue196
Removal or shaving of skin growth135
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006826NYMDFoot & Ankle Surgery Podiatrist
PO60894973WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
PNC Podiatry of Washington PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2023 Accepting new patients
PNC Podiatry of Washington PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2023 Accepting new patients

Locations

1823 37th St
Ste A
Everett, WA 98201
Phone (425) 339-8888

13030 121st Way NE
Ste 204
Kirkland, WA 98034
Phone (425) 820-8699

4300 Talbot Rd S
Ste 315
Renton, WA 98055
Phone (206) 719-8451

Interoperability endpoints

  • Direct secure messaging: stephanie.yan-rong.cullen.1@28424.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1063897916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 121ST WAY NE STE 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343008",
            "telephone_number": "425-822-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 121ST WAY NE STE 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343008",
            "telephone_number": "425-822-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "YAN RONG",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006826",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60894973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAN RONG",
            "last_name": "CHOU",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.