NPIMap

Individual provider Active NPI

Michael Dale Dujela, DPM

  • Podiatrist
  • Centralia, WA
National Provider Identifier
1083719876
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
WAPO00000717 Issued in WA
Practice address
1900 Cooks Hill Rd
Centralia, WA 98531-9073
Phone
(360) 736-2889
NPI assigned
Sep 14, 2006
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X WAPO00000717 WA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO00000717 WA

Addresses

Primary practice location

1900 Cooks Hill Rd
Centralia, WA 98531-9073

Mailing address

PO Box 368
Olympia, WA 98507-0368
Phone (360) 491-8439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512001073 WA Practitioner - Podiatry 7416085436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1900 Cooks Hill Rd
Centralia, WA 98531-9073
Phone (360) 736-2889

3901 Capital Mall Dr SW
Suite a
Olympia, WA 98502-8654
Phone (360) 570-3460

704 Lilly Rd SE
Olympia, WA 98501-2115
Phone (360) 736-2889

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.61 of 100Reported as individual
Quality
78.39
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WAPO00000717WAMDPodiatrist
PO00000717WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Orthopaedic Associates PLLC CurrentSince Jan 1, 2026 Accepting new patients
Olympia Orthopaedic Associates, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Washington Orthopaedic Center, Inc, PS CurrentSince Jul 1, 2014 Accepting new patients
Washington Orthopaedic Center, Inc., PS CurrentSince Jul 1, 2014 Accepting new patients
Western Washington Foot & Ankle Specialists, Inc Foot & Ankle Surgery PastSince Jan 1, 2009 Accepting new patients
Washington Orthopaedic Center, Inc, PS Past Accepting new patients

Locations

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

3901 Capital Mall Dr SW
#A
Olympia, WA 98502
Phone (360) 570-3460

615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850

704 Lilly Rd SE
Olympia, WA 98501
Phone (360) 456-4488

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.dujela.1@24935.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1083719876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070368",
            "telephone_number": "360-491-8439",
            "fax_number": "360-491-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319073",
            "telephone_number": "360-736-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUJELA",
        "first_name": "MICHAEL",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "WAPO00000717",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.