Michaela Ostradicky, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO60074559 Issued in WA

Practice address

1702 Dexter Ave N
Seattle, WA 98109-3021

Phone

(206) 522-6640

Fax

(206) 527-0147

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Premier Podiatry

  • Podiatrist
  • Seattle, WA
  • NPI 1336440833
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1942442975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9086",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981090086",
            "telephone_number": "206-522-6640",
            "fax_number": "206-527-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 DEXTER AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093021",
            "telephone_number": "206-522-6640",
            "fax_number": "206-527-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTRADICKY",
        "first_name": "MICHAELA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60074559",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60074559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8548521",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PO60074559",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00773702",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Ostergren, DDS
• Julie Anne Osterling, PH.D.
• Mitchell Douglas Osterman
• Trisha L Ostermeier, AUD
• Lily Claire Ostle
• Madison Ostrander
• Rachel Esther Ostrander, ANP-C
• Allison Ostrer, INTERPRETER
• Jana Ruth Ostrom, R.PH.
• Fabiana Ostronoff, MD

• Podiatrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.