Individual provider Active NPI

Tyler Belnap, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vancouver, WA
National Provider Identifier
1467806984
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60953095 Issued in WA
Practice address
16701 SE McGillivray Blvd Ste 220
Vancouver, WA 98683-3462
Phone
(360) 834-3707
Fax
(360) 834-3569
NPI assigned
Apr 21, 2016
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 PO60953095 WA Primary

Addresses

Primary practice location

16701 SE McGillivray Blvd Ste 220
Vancouver, WA 98683-3462

Mailing address

270-05 76TH Avenue
New Hyde Park, NY 11040

Other practice location 1

270-05 76th Avenue
New Hyde Park, NY 11040
Phone (718) 470-4475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20190822003721 OR Practitioner - Podiatry 2961746656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Foot and Ankle Associates LLCGroup PAC ID 5799047783, 6 clinicians

Practice addresses (Care Compare)

37569 Hwy 26
Sandy, OR 97055-9301
Phone (503) 668-5210

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of nail tissue141
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006893NYMDEducational Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Foot & Ankle Associates LLC Foot & Ankle Surgery CurrentSince Aug 1, 2021 Accepting new patients
Elite Mobile Wound Care LLC CurrentSince Jul 7, 2024 Accepting new patients
Robert W Geister and Associates Inc PastSince Aug 20, 2013 Accepting new patients

Locations

37569 Highway 26
Sandy, OR 97055
Phone (503) 668-5210

39400 Pioneer Blvd
Ste 4
Sandy, OR 97055
Phone (503) 245-2417

11815 SW King James Pl
Ste 60
Tigard, OR 97224
Phone (503) 639-8107

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHGCBD
  • Direct secure messaging: tbelnap154316@direct.ohsu.edu

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.

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1467806984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270-05 76TH AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 SE MCGILLIVRAY BLVD STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833462",
            "telephone_number": "360-834-3707",
            "fax_number": "360-834-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270-05 76th Avenue",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "11040",
            "country_code": "US",
            "telephone_number": "718-470-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELNAP",
        "first_name": "TYLER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60953095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.