Active NPI
Ronald S Sorensen, DPM
- Podiatrist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000510
- Practice address
- 2728 E Main Ave
Suite a
Puyallup, WA 98372-3198 - Phone
- (253) 848-0131
- Fax
- (253) 840-6787
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO00000510 | WA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO00000510 | WA |
Addresses
Primary practice location
2728 E Main Ave
Suite a
Puyallup, WA 98372-3198
Mailing address
2728 E Main Ave
Suite a
Puyallup, WA 98372-3198
Phone (253) 841-2006
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SO1011 | Other | WA | REGENCE |
| 8148843 | Medicaid | WA | |
| CJ4574 | Other | WA | RAIL ROAD MEDICARE |
| 0155721 | Other | WA | LABOR AND INDUSTRIES |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110810000307 | WA | Practitioner - Podiatry | 6800065780 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ankle and Foot Specialists of Puget Sound, PS
Practice addresses (Care Compare)
2820 Griffin Ave
Suite 101
Enumclaw, WA 98022-2373
Phone (360) 825-2181
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 151 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 428 |
| Removal or shaving of skin growth | 166 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO00000510 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle & Foot Specialists of Puget Sound, PS | Podiatrist | Current | Accepting new patients |
| Ankle & Foot Specialists of Puget Sound, PS | Podiatrist | Current | Accepting new patients |
| Ankle & Foot Specialists of Puget Sound, PS | Podiatrist | Current | Accepting new patients |
| Ankle & Foot Specialists of Puget Sound, PS | Podiatrist | Past | Accepting new patients |
| Puget Sound Specialty Physicians PLLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Surgery Center Enumclaw | Past | Accepting new patients | |
| Ankle & Foot Specialists of Puget Sound, PS | Podiatrist | Past | Accepting new patients |
Locations
2820 Griffin Ave
Ste 101
Enumclaw, WA 98022
Phone (360) 825-2181
2820 Griffin Ave
Ste 200
Enumclaw, WA 98022
Phone (360) 825-2701
2820 Griffin Ave
Enumclaw, WA 98022
Phone (360) 802-5231
751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000
17700 SE 272nd St
#370
Kent, WA 98042
Phone (253) 631-0585
1450 5th St SE
Ste 4400
Puyallup, WA 98372
Phone (253) 697-2340
3908 10th St SE
Puyallup, WA 98374
Phone (253) 848-5951
2728 E Main
Ste A
Puyallup, WA 98372
Phone (253) 841-2006
Interoperability endpoints
- ronald.sorensen@aafsopsp-wa.direct.office.nextgen.com
Organizations & group practices 9
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.
-
- Podiatrist
- Puyallup, WA
- NPI 1649561168
-
- Podiatrist
- Puyallup, WA
- NPI 1760781827
-
- Podiatrist
- Enumclaw, WA
- NPI 1164720462
-
- Podiatrist
- Bellevue, WA
- NPI 1346548658
-
- Podiatrist
- Puyallup, WA
- NPI 1437457744
-
- Podiatrist
- Redmond, WA
- NPI 1902167471
-
- Primary Podiatric Medicine Podiatrist
- Puyallup, WA
- NPI 1558668582
Podiatrist
-
- Foot & Ankle Surgery Podiatrist
- Puyallup, WA
- NPI 1477732055
Foot & Ankle Surgery
-
- Ambulatory Surgical Clinic/Center
- Enumclaw, WA
- NPI 1649368341
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": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1710972740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 E MAIN AVE",
"address_2": "SUITE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723198",
"telephone_number": "253-841-2006",
"fax_number": "253-840-6691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 E MAIN AVE",
"address_2": "SUITE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723198",
"telephone_number": "253-848-0131",
"fax_number": "253-840-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "RONALD",
"middle_name": "S",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000510",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO00000510",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "SO1011",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8148843",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CJ4574",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0155721",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.