Individual provider Active NPI

Serge Barlam, DPM

  • Podiatrist
  • Redmond, WA
National Provider Identifier
1942310008
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000798 Issued in WA
Practice address
2001 152ND Ave NE
Redmond, WA 98052-5521
Phone
(425) 643-8901
Fax
(425) 643-8902
NPI assigned
Aug 30, 2006
Last updated
May 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO00000798 WA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO00000798 WA

Addresses

Primary practice location

2001 152ND Ave NE
Redmond, WA 98052-5521

Mailing address

2001 152ND Ave NE
Redmond, WA 98052-5521
Phone (425) 643-8901

Other identifiers 2

IdentifierTypeStateIssuer
1123454MedicaidWA
P00400081OtherWARR MEDICARE

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
I20060502000228 WA Practitioner - PodiatryPractitioner - Other (Physician) 9739199068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isb.IncGroup PAC ID 2567472897, 3 clinicians

Practice addresses (Care Compare)

2001 152ND Ave NE
Redmond, WA 98052-5521
Phone (425) 643-8901

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions1-10
Removal of nail tissue509
Removal or shaving of skin growth281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO00000798WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Isb.Inc Podiatrist CurrentSince Jun 1, 2006 Accepting new patients
Isb, Inc Podiatrist Current Accepting new patients

Locations

620 SE Everett Mall Way
Ste 210B
Everett, WA 98208
Phone (206) 913-9664

10056 SE 240th St
Ste D
Kent, WA 98031
Phone (206) 992-9914

23914 100th Ave SE
Kent, WA 98031
Phone (205) 508-8768

2001 152nd Ave NE
Redmond, WA 98052
Phone (425) 643-8901

10564 5th Ave NE
Ste 103
Seattle, WA 98125
Phone (206) 361-2255

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1942310008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525521",
            "telephone_number": "425-643-8901",
            "fax_number": "425-643-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525521",
            "telephone_number": "425-643-8901",
            "fax_number": "425-643-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLAM",
        "first_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000798",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123454",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00400081",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.