Individual provider Active NPI

Mak Sami Abulhosn, DPM

  • Podiatrist
  • Mercer Island, WA
National Provider Identifier
1356524060
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO730 Issued in WA
Practice address
3236 78TH Ave SE Ste 959
Mercer Island, WA 98040-3500
Phone
(206) 609-0669
NPI assigned
Dec 17, 2007
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO730 WA Primary

Addresses

Primary practice location

3236 78TH Ave SE Ste 959
Mercer Island, WA 98040-3500

Mailing address

3236 78TH Ave SE Ste 959
Mercer Island, WA 98040-3500
Phone (206) 609-0669

Other identifiers 2

IdentifierTypeStateIssuer
8314536MedicaidWA
P00436323OtherWARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103001145 WA Practitioner - Podiatry 3072575729 Reassigns benefits to 2 organizations
Practice locations: Mercer Island, WA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3236 78TH Ave SE
Suite 201
Mercer Island, WA 98040-3500

4625 89TH Ave SE
Mercer Island, WA 98040-4425
Phone (206) 949-2869

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue641
Removal or shaving of skin growth335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO730WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mak Abulhosn Podiatry Services PLLC Podiatrist CurrentSince Nov 16, 2025 Accepting new patients
Mercer Island Foot and Ankle Clinic PLLC Podiatrist CurrentSince Jul 1, 2005 Accepting new patients
Michael a. Mishalanie, DPM PS Past Accepting new patients

Locations

3040 78th Ave SE
Unit 959
Mercer Island, WA 98040
Phone (206) 949-2869

3236 78th Ave SE
Ste 201
Mercer Island, WA 98040
Phone (206) 275-9117

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1356524060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 78TH AVE SE STE 959",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403500",
            "telephone_number": "206-609-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 78TH AVE SE STE 959",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403500",
            "telephone_number": "206-609-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABULHOSN",
        "first_name": "MAK",
        "middle_name": "SAMI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8314536",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00436323",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.