Individual provider Active NPI

Anthony Lo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Seattle, WA
National Provider Identifier
1649352527
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P000000325 Issued in WA
Practice address
515 Minor Ave.
Suite 240
Seattle, WA 98104-2133
Phone
(206) 386-9668
Fax
(206) 386-9544
NPI assigned
Oct 19, 2006
Last updated
Apr 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P206 HI
Foot & Ankle Surgery Podiatrist 213ES0103X P000000325 WA Primary

Addresses

Primary practice location

515 Minor Ave.
Suite 240
Seattle, WA 98104-2133

Mailing address

805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100

Other identifiers 5

IdentifierTypeStateIssuer
1001072MedicaidWA
P00461226OtherWAPALMETTO / RR MEDICARE
5891740001OtherWADME
6815LOOtherWAREGENCE
225904OtherWALABOR & INDUSTRY

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
I20071114000170 WA Practitioner - Podiatry 5193769628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Surgical Care Northwest, PLLCGroup PAC ID 6103073325, 2 clinicians

Practice addresses (Care Compare)

515 Minor Ave
Suite 240
Seattle, WA 98104-2133
Phone (206) 420-3119

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P206HIMDPodiatrist
P000000325WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Proliance Surgeons Inc., P.S. CurrentSince Apr 4, 2016 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Apr 4, 2016 Accepting new patients
Vascular & Surgical Care Northwest, PLLC CurrentSince Oct 19, 2020 Accepting new patients
East Hill Foot and Ankle Clinic Foot & Ankle Surgery Past Accepting new patients
Proliance Surgeons Inc PS Past Accepting new patients

Locations

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

3236 78th Ave SE
Ste 200
Mercer Island, WA 98040
Phone (206) 275-5060

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

3400 California Ave SW
Ste 210
Seattle, WA 98116
Phone (206) 215-6900

515 Minor Ave
Ste 240
Seattle, WA 98104
Phone (206) 386-9668

5350 Tallman Ave NW
Ste 301
Seattle, WA 98107
Phone (206) 320-3335

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

901 Boren Ave
Ste 712
Seattle, WA 98104
Phone (206) 624-9876

Organizations & group practices 6

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1649352527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST",
            "address_2": "SUITE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-264-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE.",
            "address_2": "SUITE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042133",
            "telephone_number": "206-386-9668",
            "fax_number": "206-386-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "ANTHONY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "P206",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "P000000325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001072",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO / RR MEDICARE",
            "identifier": "P00461226",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5891740001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "6815LO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "225904",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.