Individual provider Active NPI

Dru Louis Rodriguez, DPM

  • Podiatrist
  • Spokane, WA
National Provider Identifier
1144262247
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000486 Issued in WA
Practice address
1333 W Francis Ave
Spokane, WA 99205-6730
Phone
(509) 327-7733
Fax
(509) 327-2284
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO00000486 WA Primary

Addresses

Primary practice location

1333 W Francis Ave
Spokane, WA 99205-6730

Mailing address

PO Box 18977
Spokane, WA 99228-0977
Phone (509) 327-7733

Other identifiers 2

IdentifierTypeStateIssuer
1099282MedicaidWA
905-4628OtherWADSHS DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, ID3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110118000365 WA Practitioner - Podiatry 9931222437 Reassigns benefits to 3 organizations
I20180319000709 TX Practitioner - Podiatry 9931222437 Reassigns benefits to 1 organization
I20220315001941 ID Practitioner - Podiatry 9931222437 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians
Pacwest Healthcare PLLCGroup PAC ID 5395199269, 12 clinicians

Practice addresses (Care Compare)

100 E Dalke Ave
Spokane, WA 99208-1006
Phone (509) 484-3553

1100 N Superior St
Spokane, WA 99202-2002
Phone (509) 489-9510

1110 E Westview CT
Spokane, WA 99218-1326
Phone (209) 465-8440

12903 E Mission Ave
Spokane Valley, WA 99216-3405
Phone (509) 283-7809

14820 E 4TH Ave
Spokane Valley, WA 99216-2165
Phone (509) 922-1644

17117 E 8TH Ave
Spokane Valley, WA 99016-9337
Phone (509) 924-6161

210 W Lacrosse Ave
Coeur D Alene, ID 83814-2403
Phone (208) 664-2185

2219 N 6TH St
Cheney, WA 99004-2171
Phone (509) 235-6196

222 S Evergreen Rd
Spokane Valley, WA 99216-0834
Phone (509) 928-2222

302 E Wedgewood Ave
Spokane, WA 99208-5393
Phone (509) 483-7136

3319 E 57TH Ave
Spokane, WA 99223-7022
Phone (509) 343-2714

503 S Hilltop LN
Fairfield, WA 99012-9686
Phone (509) 283-2232

601 S Park Rd
Spokane Valley, WA 99212-0593
Phone (509) 922-7224

7310 N Pine Rock St
Spokane, WA 99208-9085
Phone (509) 359-1006

9106 W Rutter Pkwy
Spokane, WA 99208-9210
Phone (276) 238-0911

920 12TH Ave SE
Puyallup, WA 98372-4920
Phone (253) 841-3422

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1220
Removal or shaving of skin growth88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO00000486WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Post-Acute Care PC CurrentSince Mar 1, 2022 Accepting new patients
Colville Nation Community Health Centers CurrentSince Nov 11, 2017 Accepting new patients
NV Pacs 2 LLC CurrentSince Mar 1, 2022 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Aug 1, 2024 Accepting new patients
Pacwest Healthcare, PLLC CurrentSince Oct 12, 2025 Accepting new patients
Washington Pac Services PC CurrentSince Nov 8, 2021 Accepting new patients
Wa Pacs 2 PC CurrentSince Nov 8, 2021 Accepting new patients

Locations

210 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone (208) 664-2185

1014 Burrell Ave
Lewiston, ID 83501
Phone (208) 503-3113

1125 N Division Ave
Sandpoint, ID 83864
Phone (208) 265-9299

5261 Carrollton Pike
Ste C
Woodlawn, VA 24381
Phone (276) 238-0911

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

8606 N Wall St
Ste 104
Spokane, WA 99218
Phone (509) 327-7733

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1144262247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18977",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992280977",
            "telephone_number": "509-327-7733",
            "fax_number": "509-327-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W FRANCIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056730",
            "telephone_number": "509-327-7733",
            "fax_number": "509-327-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DRU",
        "middle_name": "LOUIS",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099282",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS DME",
            "identifier": "905-4628",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.