Individual provider Active NPI

Cody M Hoover, DPM

  • Foot & Ankle Surgery Podiatrist
  • Puyallup, WA
National Provider Identifier
1952550295
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60211118 Issued in WA
Practice address
16515 Meridian E Ste 105B
Puyallup, WA 98375-6253
Phone
(253) 987-9111
Fax
(844) 827-2764
NPI assigned
Sep 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO60211118 WA
Primary Podiatric Medicine Podiatrist 213EP1101X PO60211118 WA
Radiology Podiatrist 213ER0200X PO60211118 WA
Foot & Ankle Surgery Podiatrist 213ES0103X SC006067 PA
Foot & Ankle Surgery Podiatrist 213ES0103X PO60211118 WA Primary

Addresses

Primary practice location

16515 Meridian E Ste 105B
Puyallup, WA 98375-6253

Mailing address

16515 Meridian E Ste 105B
Puyallup, WA 98375-6253
Phone (253) 987-9111

Other identifiers 1

IdentifierTypeStateIssuer
2090174MedicaidWA

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
I20110830000745 WA Practitioner - Podiatry 4284804279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

16515 Meridian E
Suite 105B
Puyallup, WA 98375-6253
Phone (253) 987-9111

848 W Orchard Dr
Bellingham, WA 98225-1758
Phone (847) 504-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions1-10
Removal of nail tissue503
Removal or shaving of skin growth96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO60211118WAMDRadiology Podiatrist
SC006067PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince May 1, 2025 Accepting new patients
CMH Group P.C. Podiatrist CurrentSince Oct 5, 2025 Accepting new patients

Locations

16515 Meridian E
Ste 105B
Puyallup, WA 98375
Phone (253) 973-6590

Interoperability endpoints

  • Direct secure messaging: cody.hoover.1@17705.direct.athenahealth.com

Organizations & group practices 3

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1952550295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E STE 105B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756253",
            "telephone_number": "253-987-9111",
            "fax_number": "844-827-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E STE 105B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756253",
            "telephone_number": "253-987-9111",
            "fax_number": "844-827-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "CODY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60211118",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "PO60211118",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "WA",
            "license": "PO60211118",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006067",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60211118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090174",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.