Individual provider Active NPI

Matthew A Labella, DPM

  • Foot & Ankle Surgery Podiatrist
  • Seattle, WA
National Provider Identifier
1295890234
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000739 Issued in WA
Practice address
4520 42ND Ave SW
Suite 34
Seattle, WA 98116-4240
Phone
(206) 937-4700
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO00000739 WA Primary

Addresses

Primary practice location

4520 42ND Ave SW
Suite 34
Seattle, WA 98116-4240

Mailing address

4520 42ND Ave SW
Suite 34
Seattle, WA 98116-4240
Phone (206) 937-4700

Other names 1

  • Dr. Matthew A Labella Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071026000556 WA Practitioner - Podiatry 9335236017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Seattle Foot and Ankle Clinic LLCGroup PAC ID 1557733607, 2 clinicians

Practice addresses (Care Compare)

4520 42ND Ave SW
Suite 34
Seattle, WA 98116-4240
Phone (206) 937-4700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Seattle Foot & Ankle Clinic, LLC Foot & Ankle Surgery CurrentSince Jan 1, 2008 Accepting new patients
West Seattle Foot & Ankle Clinic Past Accepting new patients

Locations

4520 42nd Ave SW
Ste 34
Seattle, WA 98116
Phone (206) 937-4700

Organizations & group practices 2

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1295890234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 42ND AVE SW",
            "address_2": "SUITE 34",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164240",
            "telephone_number": "206-937-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 42ND AVE SW",
            "address_2": "SUITE 34",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164240",
            "telephone_number": "206-937-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELLA",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "LABELLA",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.