Active NPI
Mark A Kuzel, D.P.M.
- Podiatrist
- Edmonds, WA
National Provider Identifier
1447324330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P0489
- Practice address
- 21229 84TH Ave W
Edmonds, WA 98026-7304 - Phone
- (425) 775-1505
- Fax
- (425) 775-9078
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P0489 | WA | Primary |
Addresses
Primary practice location
21229 84TH Ave W
Edmonds, WA 98026-7304
Mailing address
21229 84TH Ave W
Edmonds, WA 98026-7304
Phone (425) 775-1505
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076256 | Medicaid | WA | |
| 7059470 | Medicaid | WA | |
| ULTRA SOUND | Medicaid | WA | |
| 9046574 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21229 84TH Ave W
Edmonds, WA 98026-7304
Phone (425) 775-1505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0489 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Foot & Ankle Associates, P.S. | Current | Accepting new patients | |
| Northwest Foot & Ankle Associates, P.S. | Current | Accepting new patients |
Locations
21229 84th Ave W
Ste A
Edmonds, WA 98026
Phone (206) 775-1505
1545 NE 65th St
Seattle, WA 98115
Phone (206) 364-0330
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.
-
dba Edmonds Surgery Center
- Primary Podiatric Medicine Podiatrist
- Edmonds, WA
- NPI 1992833594
-
dba Active Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Seattle, WA
- NPI 1881860591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1447324330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21229 84TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267304",
"telephone_number": "425-775-1505",
"fax_number": "425-775-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21229 84TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267304",
"telephone_number": "425-775-1505",
"fax_number": "425-775-9078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUZEL",
"first_name": "MARK",
"middle_name": "A",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "P0489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1076256",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7059470",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ULTRA SOUND",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9046574",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.