Active NPI
Andrew Singtiong Soo, DPM
- Foot & Ankle Surgery Podiatrist
- Kent, WA
National Provider Identifier
1932178993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO619
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 607647300 | Other | WA | USPS WORKERS COMP |
| 1110352 | Medicaid | WA | |
| 0151953 | Other | WA | DEPT OF LABOR & INDUSTRIE |
| 5372SO | Other | WA | REGENCE RIDER NUMBER |
| 8903622 | Other | WA | CRIME VICTIM COMP |
| 912000607 | Other | WA | FED TAX ID |
| 91200060798032A003 | Other | WA | TRICARE |
| 2805645 | Other | WA | AETNA PROVIDER NUMBER |
| 5242672 | Other | WA | AETNA 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO619 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapha Clinics, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Rapha Clinic Inc | Current | 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 | Past | 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.
-
- Podiatrist
- Shoreline, WA
- NPI 1295934438
-
- Podiatrist
- Redmond, WA
- NPI 1902167471
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Auburn, WA
- NPI 1265099949
-
- Foot & Ankle Surgery Podiatrist
- Puyallup, WA
- NPI 1477732055
-
- Ambulatory Surgical Clinic/Center
- Enumclaw, WA
- NPI 1649368341
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.