Paul W Aufderheide, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P0000000335 Issued in WA

Practice address

10049 Kitsap Mall Blvd NW
Suite 109
Silverdale, WA 98383-8903

Phone

(360) 698-2505

Fax

(360) 698-2514

NPI assigned

Oct 18, 2006

Last updated

Nov 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Merit-based Incentive Payment System (MIPS)

Final score

12.5 of 100Reported as individual

Quality

25

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kitsap Podiatry PLLC

  • Podiatrist
  • Silverdale, WA
  • NPI 1801065040
  Medicare reassignment
• Paul W Aufderheide DPM

  • Podiatrist
  • Silverdale, WA
  • NPI 1932280443
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1730260241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10049 KITSAP MALL BLVD NW",
            "address_2": "SUITE 109",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838903",
            "telephone_number": "360-698-2505",
            "fax_number": "360-698-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10049 KITSAP MALL BLVD NW",
            "address_2": "SUITE 109",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838903",
            "telephone_number": "360-698-2505",
            "fax_number": "360-698-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUFDERHEIDE",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "P0000000335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER",
            "identifier": "AU0282",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "480002668",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0022837",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI EFFECTIVE 01012008",
            "identifier": "1801065040",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1185503",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.

Verify at the official NPI Registry.