Douglas J Ichikawa, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000422 Issued in WA

Practice address

1609 116TH Ave NE
Bellevue, WA 98004-3024

Phone

(425) 283-5093

Fax

(425) 283-5095

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellevue Podiatric Physicians PLLCGroup PAC ID 4981699063, 4 clinicians

Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Washington Medical Ctr Hospital, Seattle, WA, CCN 500008
• Harborview Medical Center Hospital, Seattle, WA, CCN 500064

Merit-based Incentive Payment System (MIPS)

Final score

93.85 of 100Reported as apm

Quality

74.6

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglas.ichikawa.1@6873.direct.athenahealth.com
• Direct secure messaging: dichikawa9938@direct.ehre.uwmedicine.org

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.

• The Association of University Physicians

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1023041159

  WA

  Medicare reassignment Care Compare group NPD
• Bellevue Podiatric Physicians PLLC

  • Podiatrist
  • Bellevue, WA
  • NPI 1467555888

  WA

  Medicare reassignment Care Compare group
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Puget Sound Specialty Physicians PLLC

  • Foot & Ankle Surgery Podiatrist
  • Puyallup, WA
  • NPI 1477732055
  NPD (past)
• Surgery Center Enumclaw

  • Ambulatory Surgical Clinic/Center
  • Enumclaw, WA
  • NPI 1649368341
  NPD (past)

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

• Harborview Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1053359729

  Hospital

  Care Compare affiliation
• University of Washington

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1326002049

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356307200000",
    "number": "1124099601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043024",
            "telephone_number": "425-283-5093",
            "fax_number": "425-283-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043024",
            "telephone_number": "425-283-5093",
            "fax_number": "425-283-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICHIKAWA",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0231400",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124099601",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iam Center for Integrative Aesthetic Medicine
• Ian Williams PLLC
• Eva Ianson
• Karina Stesy Ibarra
• Ruby Ibarra
• Molly Ichikawa, DPM
• Georgia Anne Ide, LMP
• Ideal Care Homes Inc.
• Ideal Option, PLLC
• Ideal Smiles Dental Care

• Podiatrist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2012; 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.

Verify at the official NPI Registry.