Individual provider Active NPI

Simrit Kaur, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mill Creek, WA
National Provider Identifier
1942867221
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO61282105 Issued in WA
Practice address
16030 Bothell Everett Hwy Ste 160
Mill Creek, WA 98012-1794
Phone
(425) 537-3777
NPI assigned
May 22, 2019
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X T23-2019 TX
Foot & Ankle Surgery Podiatrist 213ES0103X PO61282105 WA Primary

Addresses

Primary practice location

16030 Bothell Everett Hwy Ste 160
Mill Creek, WA 98012-1794

Mailing address

16030 Bothell Everett Hwy Ste 160
Mill Creek, WA 98012-1794
Phone (425) 537-3777

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
I20220628003523 WA Practitioner - Podiatry 2860872454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T23-2019TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
PNC Podiatry of Washington PLLC Podiatrist CurrentSince Jun 1, 2025 Accepting new patients
Hansen Foot and Ankle LLC Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
PNC Podiatry of Washington PLLC Foot & Ankle Surgery CurrentSince Jun 1, 2025 Accepting new patients
Eastside Medical Group, LLC Past Accepting new patients

Locations

1823 37th St
Ste A
Everett, WA 98201
Phone (425) 339-8888

16030 Bothell Everett Hwy
Ste 160
Mill Creek, WA 98012
Phone (425) 537-3777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26643/brand/1/csg/1/fhir/r4
  • Direct secure messaging: simrit.kaur.1@26643.direct.athenahealth.com

Organizations & group practices 4

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1942867221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 160",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121794",
            "telephone_number": "425-537-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 160",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121794",
            "telephone_number": "425-537-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SIMRIT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "T23-2019",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61282105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.