Individual provider Active NPI

Peter J Lallas, D.P.M.

  • Podiatrist
  • Kirkland, WA
National Provider Identifier
1972556918
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000542 Issued in WA
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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 2 586 clinicians

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 Hospital, Kirkland, WA, CCN 500124

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue18
Removal or shaving of skin growth1-10
Skin biopsy1-10

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060605000190 WA Practitioner - Podiatry 4688685712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Apr 1, 2015 Accepting new patients
King County Public Hospital District No 2 CurrentSince Apr 1, 2015 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)CodeLicenseStatePrimary
Podiatrist 213E00000X PO00000542 WA Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.