Individual provider Active NPI

Ronald S Sorensen, DPM

  • Podiatrist
  • Puyallup, WA
National Provider Identifier
1710972740
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000510 Issued in WA
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

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SO1011OtherWAREGENCE
8148843MedicaidWA
CJ4574OtherWARAIL ROAD MEDICARE
0155721OtherWALABOR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 6 clinicians

Practice addresses (Care Compare)

2820 Griffin Ave
Suite 101
Enumclaw, WA 98022-2373
Phone (360) 825-2181

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue151
Removal of skin lesions1-10
Removal of nail tissue428
Removal or shaving of skin growth166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO00000510WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist CurrentSince Jan 1, 2012 Accepting new patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist CurrentSince Jan 1, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.