Active NPI
Peter J Lallas, D.P.M.
- Podiatrist
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000542
- Practice address
- 12710 Totem Lake Blvd NE
Kirkland, WA 98034-2907 - Phone
- (425) 821-4040
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
WA
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
- Rehabilitation Hospital Unit
- Kirkland, WA
- NPI 1154411338
-
- Community Based Hospice Care Agency
- Kirkland, WA
- NPI 1285719609
-
- Home Health Agency
- Kirkland, WA
- NPI 1588662761
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- King County Public Hospital District No 2
Practice addresses (Care Compare)
12033 NE 130TH LN
Suite 120
Kirkland, WA 98034-3052
Phone (425) 899-2160
12039 NE 128TH St
Kirkland, WA 98034-3029
12333 NE 130TH LN
Kirkland, WA 98034-7467
Hospital & facility affiliations
- Evergreenhealth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 11 |
| Removal of nail tissue | 18 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060605000190 | WA | Practitioner - Podiatry | 4688685712 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Past | Accepting new patients |
Locations
10025 NE 186th St
Bothell, WA 98011
Phone (425) 486-9131
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
12710 Totem Lake Blvd NE
Kirkland, WA 98034
Phone (425) 821-4040
12039 NE 128th St
Ste 500
Kirkland, WA 98034
Phone (425) 899-1220
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO00000542 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12710 Totem Lake Blvd NE
Kirkland, WA 98034-2907
Mailing address
PO Box 646
Bothell, WA 98041-0646
Phone (425) 485-3955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2009.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1972556918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 646",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980410646",
"telephone_number": "425-485-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12710 TOTEM LAKE BLVD NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342907",
"telephone_number": "425-821-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALLAS",
"first_name": "PETER",
"middle_name": "J",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.