Suzanne M Wilson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000472 Issued in WA

Practice address

1609 116TH Ave NE
Bellevue, WA 98004

Phone

(425) 283-5093

Fax

(425) 283-5093

NPI assigned

Sep 30, 2005

Last updated

Mar 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellevue Podiatric Physicians PLLCGroup PAC ID 4981699063, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6873/brand/1/csg/1/fhir/r4
• Direct secure messaging: suzanne.wilson.1@6873.direct.athenahealth.com

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.

• Bellevue Podiatric Physicians PLLC

  • Podiatrist
  • Bellevue, WA
  • NPI 1467555888
  Medicare reassignment Care Compare group Authorized official
• Puget Sound Specialty Physicians PLLC

  dba Ankle & Foot Specialist of Puyallup

  • Foot & Ankle Surgery Podiatrist
  • Puyallup, WA
  • NPI 1477732055
  NPD (past)
• Surgery Center Enumclaw

  • Ambulatory Surgical Clinic/Center
  • Enumclaw, WA
  • NPI 1649368341
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1598971855
  Care Compare affiliation
• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1861432726
  Care Compare affiliation

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1811984248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14212 AMBAUM BLVD SW",
            "address_2": "#103",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661449",
            "telephone_number": "206-242-6553",
            "fax_number": "206-246-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-283-5093",
            "fax_number": "425-283-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1098623",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Wilson
• Matthew Ryan Wilson, LBA, BCBA
• Rachel Claire Wilson
• Robin R Wilson
• Stephanie Wilson
• Emily Young Wimberly, SLP
• Ei Win
• John Leo Winfield, MD
• Sidney Wingate
• Christina Davis Winkley, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.