Individual provider Active NPI

Andrew Singtiong Soo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kent, WA
National Provider Identifier
1932178993
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO619 Issued in WA
Practice address
26136 Pacific Hwy S
Kent, WA 98032
Phone
(253) 941-0887
Fax
(253) 941-4642
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO619 WA Primary

Addresses

Primary practice location

26136 Pacific Hwy S
Kent, WA 98032

Mailing address

26136 Pacific Hwy S
Kent, WA 98032
Phone (253) 941-0887

Other identifiers 9

IdentifierTypeStateIssuer
607647300OtherWAUSPS WORKERS COMP
1110352MedicaidWA
0151953OtherWADEPT OF LABOR & INDUSTRIE
5372SOOtherWAREGENCE RIDER NUMBER
8903622OtherWACRIME VICTIM COMP
912000607OtherWAFED TAX ID
91200060798032A003OtherWATRICARE
2805645OtherWAAETNA PROVIDER NUMBER
5242672OtherWAAETNA PROVIDER NUMBER

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
I20040417000620 WA Practitioner - Podiatry 6002801180 Reassigns benefits to 1 organization
Practice locations: Kent, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO619WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Clinics, Inc Foot & Ankle Surgery CurrentSince Apr 1, 2025 Accepting new patients
Rapha Clinic Inc CurrentSince Apr 1, 2025 Accepting new patients
Ankle & Foot Specialists of Puget Sound, PS Foot & Ankle Surgery Past Accepting new patients
Puget Sound Specialty Physicians PLLC Foot & Ankle Surgery Past Accepting new patients
Foundation Foot and Ankle Specialists PLLC Foot & Ankle Surgery PastSince Jan 1, 2020 Accepting new patients
Surgery Center Enumclaw Past Accepting new patients

Locations

1130 N 185th St
Ste 200
Shoreline, WA 98133
Phone (206) 542-1000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1932178993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26136 PACIFIC HWY S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "253-941-0887",
            "fax_number": "253-941-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26136 PACIFIC HWY S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "253-941-0887",
            "fax_number": "253-941-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOO",
        "first_name": "ANDREW",
        "middle_name": "SINGTIONG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USPS WORKERS COMP",
            "identifier": "607647300",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110352",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0151953",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER NUMBER",
            "identifier": "5372SO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIM COMP",
            "identifier": "8903622",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "912000607",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "91200060798032A003",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2805645",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5242672",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.