Active NPI
Steve R Feller, DPM
- Foot & Ankle Surgery Podiatrist
- Tacoma, WA
National Provider Identifier
1235132705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD0000317
- Practice address
- 7507 Custer Rd W
Tacoma, WA 98499-8138 - Phone
- (253) 472-6530
- Fax
- (253) 472-6693
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD0000317 | WA | Primary |
| Podiatrist | 213E00000X | PO0000317 | WA |
Addresses
Primary practice location
7507 Custer Rd W
Tacoma, WA 98499-8138
Mailing address
7507 Custer Rd W
Tacoma, WA 98499-8138
Phone (253) 472-6530
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037332 | Medicaid | WA | |
| 480005031 | Other | WA | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040712000193 | WA | Practitioner - Podiatry | 8628056116 | Practice locations: Lakewood, WA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD0000317 | WA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1235132705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7507 CUSTER RD W",
"city": "TACOMA",
"state": "WA",
"postal_code": "984998138",
"telephone_number": "253-472-6530",
"fax_number": "253-472-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7507 CUSTER RD W",
"city": "TACOMA",
"state": "WA",
"postal_code": "984998138",
"telephone_number": "253-472-6530",
"fax_number": "253-472-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLER",
"first_name": "STEVE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "POD0000317",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO0000317",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1037332",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480005031",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.