Individual provider Active NPI

Michael James Frazier, DPM

  • Podiatrist
  • Federal Way, WA
National Provider Identifier
1881686731
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 669 Issued in WA
Practice address
33801 1St Way S
Suite 105
Federal Way, WA 98003-4546
Phone
(253) 838-8377
Fax
(253) 838-9474
NPI assigned
Aug 17, 2005
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 669 WA Primary

Addresses

Primary practice location

33801 1St Way S
Suite 105
Federal Way, WA 98003-4546

Mailing address

33801 1St Way S
Suite 105
Federal Way, WA 98003-4546
Phone (253) 838-8377

Other identifiers 1

IdentifierTypeStateIssuer
1115757MedicaidWA

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
I20120216000245 WA Practitioner - Podiatry 9931300407 Reassigns benefits to 1 organization
Practice locations: Federal Way, WA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33801 1St Way S
Suite 105
Federal Way, WA 98003-6224
Phone (253) 838-8377

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue247
Removal of skin lesions1-10
Removal of nail tissue72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
669WAMDPsychologist
PO 669WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Campus Foot & Ankle Clinic Inc Podiatrist CurrentSince Jan 1, 2015 Accepting new patients
Surgery Center Enumclaw Past Accepting new patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist Past Accepting new patients

Locations

33801 1st Way S
Ste 105
Federal Way, WA 98003
Phone (253) 838-8377

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: michaelfrazier@wcfaaci-wa.direct.office.nextgen.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1881686731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33801 1ST WAY S",
            "address_2": "SUITE 105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034546",
            "telephone_number": "253-838-8377",
            "fax_number": "253-838-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33801 1ST WAY S",
            "address_2": "SUITE 105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034546",
            "telephone_number": "253-838-8377",
            "fax_number": "253-838-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO 669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115757",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.