Individual provider Active NPI

Lyle K Lorimer, DPM

  • Foot Surgery Podiatrist
  • Bellevue, WA
National Provider Identifier
1407945348
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO00000459 Issued in WA
Practice address
4455 148TH Ave NE FL B1
Bellevue, WA 98007-3120
Phone
(206) 386-2600
Fax
(206) 622-1644
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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 PO00000459 WA Primary

Addresses

Primary practice location

4455 148TH Ave NE FL B1
Bellevue, WA 98007-3120

Mailing address

4455 148TH Ave NE FL B1
Bellevue, WA 98007-3120
Phone (206) 386-2600

Other identifiers 1

IdentifierTypeStateIssuer
1086180MedicaidWA

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
I20120412000753 WA Practitioner - Podiatry 0547421836 Reassigns benefits to 2 organizations
Practice locations: Bellevue, WA; Seattle, WA; Puyallup, WA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Opa Ortho PLLCGroup PAC ID 7012371305, 42 clinicians

Practice addresses (Care Compare)

4455 148TH Ave NE
Bellevue, WA 98007-3120
Phone (206) 386-2600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue45
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Neurosurgery PLLC CurrentSince Mar 21, 2022 Accepting new patients
Opa Ortho PLLC CurrentSince Sep 7, 2024 Accepting new patients
South Sound Neurosurgery PLLC CurrentSince Mar 21, 2022 Accepting new patients
South Sound Neurosurgery PLLC Current Accepting new patients
Washington Sports Medicine Associates Inc Past Accepting new patients

Locations

4455 148th Ave NE
Ste B1
Bellevue, WA 98007

4455 148th Ave NE
#B1
Bellevue, WA 98007
Phone (206) 518-6311

1310 116th Ave NE
Ste A
Bellevue, WA 98004
Phone (425) 440-3351

4455 148th Ave NE
Bellevue, WA 98007
Phone (425) 861-6255

4455 148th Ave NE
Fl B1
Bellevue, WA 98007

20700 Bond Rd NE
Ste 103
Poulsbo, WA 98370
Phone (206) 799-2132

1519 3rd St SE
Ste 101
Puyallup, WA 98372
Phone (253) 841-8939

601 Broadway
#700
Seattle, WA 98122
Phone (206) 622-2600

900 Terry Ave
Ste 100
Seattle, WA 98104
Phone (206) 694-6665

601 Broadway
Fl 7
Seattle, WA 98122
Phone (206) 518-6311

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9932/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lyle.lorimer.p1@direct.opa.nextgenshare.com

Organizations & group practices 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1407945348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 148TH AVE NE FL B1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073120",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 148TH AVE NE FL B1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073120",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORIMER",
        "first_name": "LYLE",
        "middle_name": "K",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO00000459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1086180",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.