Michael Anders Lundborg, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO60886423 Issued in WA

Practice address

1610 Bishop Rd SW BLDG 7
Tumwater, WA 98512-7303

Phone

(360) 754-3338

Fax

(360) 753-4861

NPI assigned

Jul 3, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Podiatry

Education

Temple University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fasa Family Wellness PLLCGroup PAC ID 7618290297, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lundborgdpm@faasa-wa.direct.office.nextgen.com
• Direct secure messaging: mlundborg@usfas.emadirect.md

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.

• Fasa Family Wellness, PLLC

  • Podiatrist
  • Tumwater, WA
  • NPI 1790181899

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Fasa Family Wellness PLLC

  • Foot & Ankle Surgery Podiatrist
  • Ellensburg, WA
  • NPI 1992513840
  NPD
• Fasa Family Wellness, PLLC

  • Ambulatory Surgical Clinic/Center
  • Tumwater, WA
  • NPI 1255351714
  NPD
• Foot and Ankle Surgical Associates Inc PS

  • Foot & Ankle Surgery Podiatrist
  • Tumwater, WA
  • NPI 1841394251

  Single Specialty

  NPD (past)
• Doctors on Duty Medical Group, Inc

  • Urgent Care Clinic/Center
  • Salinas, CA
  • NPI 1568465466

  Single Specialty

  NPD (past)
• Harbor Health Services Inc

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1659330496

  Single Specialty

  NPD (past)

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

• Providence Health & Services Washington

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1346250594
  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1619176997
  Care Compare affiliation

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1487037867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338",
            "fax_number": "360-753-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW BLDG 7",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338",
            "fax_number": "360-753-4861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Brookline Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155400",
            "country_code": "US",
            "telephone_number": "303-905-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Black Hills Ln SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028148",
            "country_code": "US",
            "telephone_number": "360-943-1400",
            "fax_number": "360-943-0660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 W 1st St Ste B",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985313018",
            "country_code": "US",
            "telephone_number": "360-736-4151",
            "fax_number": "360-736-4154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3929 Bridgeport Way W Ste 308",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664455",
            "country_code": "US",
            "telephone_number": "253-272-2999",
            "fax_number": "253-272-4699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5210 Corporate Center Ct SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985035952",
            "country_code": "US",
            "telephone_number": "360-764-8293",
            "fax_number": "360-706-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDBORG",
        "first_name": "MICHAEL",
        "middle_name": "ANDERS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-03",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1338",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60886423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonnie Dean Lowe, D.C.
• Lowery Chiropractic
• Susan Lowery, D.C
• Travis Lowery, D.C.
• Qianqian Lu
• Esmeralda G Lybrand, CDP
• Bridgid Colette Maguire
• Susan Kay Mahoney, RPH
• Gilberto Maldonado, LICSWA, CDPT
• Katy Elizabeth Maleta

• Foot & Ankle Surgery Podiatrist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.

Verify at the official NPI Registry.