Individual provider Active NPI

Mark A Kuzel, D.P.M.

  • Podiatrist
  • Edmonds, WA
National Provider Identifier
1447324330
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P0489 Issued in WA
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

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1076256MedicaidWA
7059470MedicaidWA
ULTRA SOUNDMedicaidWA
9046574MedicaidWA

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
I20071227000306 WA Practitioner - Podiatry 0042310807 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
P0489WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Foot & Ankle Associates, P.S. CurrentSince Apr 2, 2007 Accepting new patients
Northwest Foot & Ankle Associates, P.S. CurrentSince Aug 30, 2001 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.

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

Verify at the official NPI Registry.