Individual provider Active NPI

Rachel Baisch Kang, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Kirkland, WA
National Provider Identifier
1124439872
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60720228 Issued in WA
Practice address
13114 120TH Ave NE
Kirkland, WA 98034-3014
Phone
(425) 947-2880
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1090 WI
Foot & Ankle Surgery Podiatrist 213ES0103X PO60720228 WA Primary

Addresses

Primary practice location

13114 120TH Ave NE
Kirkland, WA 98034-3014

Mailing address

6947 Coal Creek Pkwy SE # 753
Newcastle, WA 98059-3136
Phone (425) 947-2880

Other practice location 1

22510 SE 64th Pl Bldg F
#120
Issaquah, WA 98027-5930
Phone (425) 358-4707

Other names 1

  • Dr. Rachel Kim Baisch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, WA2 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
I20160915000508 WI Practitioner - Podiatry 7012203110 Reassigns benefits to 2 organizations
I20170522002326 WA Practitioner - Podiatry 7012203110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Foot and Ankle Center of Kirkland PLLCGroup PAC ID 4789996216, 3 clinicians
Foot and Ankle Center of Issaquah LLCGroup PAC ID 2264734763, 3 clinicians

Practice addresses (Care Compare)

13114 120TH Ave NE
Kirkland, WA 98034-3014
Phone (425) 947-2880

22510 SE 64TH PL
Suite 120
Issaquah, WA 98027-5389
Phone (425) 947-2880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue24
Removal or shaving of skin growth20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Sep 2, 2016 Accepting new patients
Foot and Ankle Center of Issaquah LLC Foot & Ankle Surgery CurrentSince Apr 12, 2017 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 2, 2016 Accepting new patients
The Foot and Ankle Center of Kirkland PLLC Foot & Ankle Surgery CurrentSince Apr 12, 2017 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Sep 2, 2016 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 2, 2016 Accepting new patients

Locations

22510 SE 64th Pl
Ste 120
Issaquah, WA 98027
Phone (425) 391-2722

12039 NE 128th St
Ste 130
Kirkland, WA 98034

13114 120th Ave NE
Kirkland, WA 98034
Phone (425) 821-6000

6947 Coal Creek Pkwy SE
Newcastle, WA 98059
Phone (206) 229-7984

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124439872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 COAL CREEK PKWY SE # 753",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593136",
            "telephone_number": "425-947-2880",
            "fax_number": "800-554-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13114 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343014",
            "telephone_number": "425-947-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22510 SE 64th Pl Bldg F",
            "address_2": "#120",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980275930",
            "country_code": "US",
            "telephone_number": "425-358-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "RACHEL",
        "middle_name": "BAISCH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1090",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60720228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BAISCH",
            "middle_name": "KIM",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.