Individual provider Active NPI

Abdulaziz Kimawi, DPM

  • Foot Surgery Podiatrist
  • Federal Way, WA
National Provider Identifier
1306282801
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
P060649660 Issued in WA
Practice address
34509 9TH Ave S Ste 306
Federal Way, WA 98003-8710
Phone
(206) 242-5293
Fax
(253) 944-4004
NPI assigned
May 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X P060649660 WA Primary

Addresses

Primary practice location

34509 9TH Ave S Ste 306
Federal Way, WA 98003-8710

Mailing address

34509 9TH Ave S Ste 306
Federal Way, WA 98003-8710
Phone (206) 242-5293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P060649660WAMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1306282801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 306",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038710",
            "telephone_number": "206-242-5293",
            "fax_number": "253-944-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 306",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038710",
            "telephone_number": "206-242-5293",
            "fax_number": "253-944-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMAWI",
        "first_name": "ABDULAZIZ",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-12",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "P060649660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.