Individual provider Active NPI

Karla Ann Trombello, DPM

  • Podiatrist
  • Longview, WA
National Provider Identifier
1609979145
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000667 Issued in WA
Practice address
1114 Broadway
Longview, WA 98632
Phone
(360) 577-3682
Fax
(360) 577-1871
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO00000667 WA Primary

Addresses

Primary practice location

1114 Broadway
Longview, WA 98632

Mailing address

1114 Broadway
Longview, WA 98632
Phone (360) 577-3682

Other identifiers 1

IdentifierTypeStateIssuer
8247942MedicaidWA

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
I20040216000545 WA Practitioner - Podiatry 9931005907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
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)

1610 Bishop Rd SW
Suite 7
Tumwater, WA 98512-7303
Phone (360) 754-3338

Hospital & facility affiliations

  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue131
Removal of skin lesions1-10
Removal of nail tissue908
Removal or shaving of skin growth368
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO00000667WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fasa Family Wellness, PLLC Podiatrist CurrentSince Jan 15, 2024 Accepting new patients
Fasa Family Wellness, PLLC Current Accepting new patients
Fasa Family Wellness PLLC Podiatrist CurrentSince Jan 15, 2024 Accepting new patients

Locations

1114 Broadway St
Longview, WA 98632
Phone (360) 577-3682

1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512
Phone (360) 754-3338

1610 Bishop Rd SW
Ste 7
Tumwater, WA 98512
Phone (360) 754-3338

3929 Bridgeport Way W
Ste 308
University Place, WA 98466
Phone (253) 272-2999

Interoperability endpoints

  • Direct secure messaging: ktrombello@usfas.emadirect.md

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 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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1609979145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BROADWAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-577-3682",
            "fax_number": "360-577-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BROADWAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-577-3682",
            "fax_number": "360-577-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBELLO",
        "first_name": "KARLA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8247942",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.