Active NPI
Kim K. Lau, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Seattle, WA
National Provider Identifier
1770650822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO00000562
- Practice address
- 14213 Ambaum Blvd SW
Seattle, WA 98166 - Phone
- (206) 243-9222
- Fax
- (206) 243-3343
- NPI assigned
- Nov 30, 2006
- 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 & Ankle Surgery Podiatrist | 213ES0103X | PO00000562 | WA | Primary |
| Podiatrist | 213E00000X | PO00000562 | WA |
Addresses
Primary practice location
14213 Ambaum Blvd SW
Seattle, WA 98166
Mailing address
14213 Ambaum Blvd SW
Seattle, WA 98166
Phone (206) 243-9222
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LA3297 | Other | WA | REGENCE BLUE SHIELD |
| 1098466 | Medicaid | WA | |
| 362789100 | Other | WA | US DEPT OF LABOR (DFEC) |
| 1135430001 | Other | WA | MEDICAL SUPPLY NUMBER |
| 480027779 | Other | WA | RAILROAD MEDICARE |
| 108702 | Other | WA | LABOR AND INDUSTRIES (WA) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winnebago Indian Health Service | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Winnebago, NE
- NPI 1801260526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1770650822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14213 AMBAUM BLVD SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98166",
"telephone_number": "206-243-9222",
"fax_number": "206-243-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14213 AMBAUM BLVD SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98166",
"telephone_number": "206-243-9222",
"fax_number": "206-243-3343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "KIM",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO00000562",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000562",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "LA3297",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1098466",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR (DFEC)",
"identifier": "362789100",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL SUPPLY NUMBER",
"identifier": "1135430001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480027779",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES (WA)",
"identifier": "108702",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.