Individual provider Active NPI

Kasra Karamlou, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vancouver, WA
National Provider Identifier
1891431722
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO61681623 Issued in WA
Practice address
2205 NE 129TH St
Vancouver, WA 98686-3252
Phone
(360) 450-6644
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO61681623 WA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 59.000965 OH
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2205 NE 129TH St
Vancouver, WA 98686-3252

Mailing address

2205 NE 129TH St
Vancouver, WA 98686-3252
Phone (360) 450-6644

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
I20260521001744 WA Practitioner - Podiatry 4385023860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clover Podiatry PLLCGroup PAC ID 2466870118, 5 clinicians

Practice addresses (Care Compare)

2205 NE 129TH St
Vancouver, WA 98686-3252
Phone (360) 450-6644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO61681623WAMDFoot & Ankle Surgery Podiatrist

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.

Hospital & facility affiliations 2

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1891431722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 NE 129TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863252",
            "telephone_number": "360-450-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 NE 129TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863252",
            "telephone_number": "360-450-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAMLOU",
        "first_name": "KASRA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61681623",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59.000965",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.