Individual provider Active NPI

Colin Bert McKay, DPM

  • Foot & Ankle Surgery Podiatrist
  • Richland, WA
National Provider Identifier
1417486606
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO61045453 Issued in WA
Practice address
915 Goethals Dr
Richland, WA 99352-3527
Phone
(509) 943-1992
Fax
(509) 946-4418
NPI assigned
Jun 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 PO61045453 WA Primary

Addresses

Primary practice location

915 Goethals Dr
Richland, WA 99352-3527

Mailing address

PO Box 5593
Pasco, WA 99302-5501
Phone (509) 606-2100

Other practice location 1

1051 Columbia Ave
Connell, WA 99326-8702
Phone (509) 488-5256

Other practice location 2

601 Government Rd
Mattawa, WA 99349-5120
Phone (509) 488-5256

Other practice location 3

1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256 ext. 8512

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
I20200630000436 WA Practitioner - Podiatry 0840563847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

660 Swift Blvd
Suite D
Richland, WA 99352-3560
Phone (509) 821-9204

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue336
Removal of skin lesions1-10
Removal of nail tissue378
Removal or shaving of skin growth251
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tricities Podiatry PLLC Foot & Ankle Surgery CurrentSince Sep 20, 2023 Accepting new patients
Columbia Basin Health Association CurrentSince Jun 1, 2023 Accepting new patients
Columbia Basin Health Association Current Accepting new patients
Columbia Basin Health Association CurrentSince Jun 1, 2023 Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512

475 N 14th Ave
Othello, WA 99344
Phone (425) 823-4000

1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250

660 Swift Blvd
Ste D
Richland, WA 99352
Phone (480) 236-6084

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1417486606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5593",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993025501",
            "telephone_number": "509-606-2100",
            "fax_number": "509-606-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GOETHALS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523527",
            "telephone_number": "509-943-1992",
            "fax_number": "509-946-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Connell",
            "state": "WA",
            "postal_code": "993268702",
            "country_code": "US",
            "telephone_number": "509-488-5256",
            "fax_number": "509-488-9939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Government Rd",
            "address_purpose": "LOCATION",
            "city": "Mattawa",
            "state": "WA",
            "postal_code": "993495120",
            "country_code": "US",
            "telephone_number": "509-488-5256",
            "fax_number": "509-488-5256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 E Columbia St",
            "address_purpose": "LOCATION",
            "city": "Othello",
            "state": "WA",
            "postal_code": "993441846",
            "country_code": "US",
            "telephone_number": "509-488-5256 x8512",
            "fax_number": "509-488-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "COLIN",
        "middle_name": "BERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61045453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.