Active NPI
Douglas L Croff, DPM
- Podiatrist
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO60986928
- Practice address
- 400 E 5TH Ave # 3W
Spokane, WA 99202-1334 - Phone
- (509) 724-4481
- Fax
- (509) 342-3416
- NPI assigned
- Jun 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E5200 | CA | |
| Podiatrist | 213E00000X | PO60986928 | WA | Primary |
Addresses
Primary practice location
400 E 5TH Ave # 3W
Spokane, WA 99202-1334
Mailing address
400 E 5TH Ave # 3W
Spokane, WA 99202-1334
Phone (509) 724-4481
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Multicare Valley Hospital
- Deaconess Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 15 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 37 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO60986928 | WA | MD | Podiatrist |
| E5200 | CA | MD | Foot Surgery Podiatrist |
| 5200 | CA | MD | Emotionally Disturbed Childrens' Residential Treatment Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Podiatrist | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
16201 E Indiana Ave
Ste 5300
Spokane Valley, WA 99216
Phone (509) 465-8885
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Pediatrics Physician
- Puyallup, WA
- NPI 1700396652
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1649533183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 5TH AVE # 3W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021334",
"telephone_number": "509-724-4481",
"fax_number": "509-342-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 5TH AVE # 3W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021334",
"telephone_number": "509-724-4481",
"fax_number": "509-342-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROFF",
"first_name": "DOUGLAS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E5200",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO60986928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.