Michael Aziz Mishalanie, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

0017065 Issued in WA

Practice address

401 S 43Rd St
Suite 110
Renton, WA 98055-5404

Phone

(425) 226-5656

Fax

(425) 271-1488

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Michael a. Mishalanie, DPM PS

  • Sports Medicine Podiatrist
  • Renton, WA
  • NPI 1356555098
  NPD (past) Authorized official
• Valley Foot & Ankle PLLC

  • Podiatrist
  • Renton, WA
  • NPI 1063067825
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1982694501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 43RD ST",
            "address_2": "SUITE 110",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555404",
            "telephone_number": "425-226-5656",
            "fax_number": "425-271-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 43RD ST",
            "address_2": "SUITE 110",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555404",
            "telephone_number": "425-226-5656",
            "fax_number": "425-271-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHALANIE",
        "first_name": "MICHAEL",
        "middle_name": "AZIZ",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "0017065",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "WA",
            "license": "0017065",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "0017065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP 0056910 WORKERS COMP",
            "identifier": "0017065",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "029382001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "911337710",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP 5229 REGENCE",
            "identifier": "MI2246",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "192061900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nolwenn Miniere
• Paul Minnich
• Minuteclinic Primary Care Washington PLLC
• Wendy Mironov, ARNP
• Krisha-Tyra Misa, DDS, MS
• Mission Healthcare at Bellevue, Joint Venture
• Mission Healthcare at Renton, LLC
• Leanne Mitchell, PT
• Myesha Mitchell
• Taryn Reiko Miyaoka, PA-C

• Primary Podiatric Medicine Podiatrist in Renton, WA
• Providers in Renton, WA by specialty
• Primary Podiatric Medicine Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.