Active NPI
Arezou Amidi, DPM
- Podiatrist
- Moses Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO60793680
- Practice address
- 1550 S Pioneer Way Ste 300
Moses Lake, WA 98837-4637 - Phone
- (509) 793-9783
- Fax
- (509) 764-3253
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1609112739
-
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
-
- Urgent Care Clinic/Center
- Davie, FL
- NPI 1265756563
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1306883228
Hospital
-
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grant County Public Hospital District 1
Practice addresses (Care Compare)
1550 S Pioneer Way
Moses Lake, WA 98837-4613
Phone (509) 793-9780
1550 S Pioneer Way
Suite 115
Moses Lake, WA 98837-4618
2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606
Hospital & facility affiliations
- Samaritan Hospital
- Confluence Health Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 15 |
| Removal of nail tissue | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171116002498 | WA | Practitioner - Podiatry | 9830493147 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO60793680 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Davie Urgent Care LLC | Past | Accepting new patients |
Locations
1550 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 793-9780
801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606
2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606
660 S Coolidge St
Moses Lake, WA 98837
1550 S Pioneer Way
Ste 365
Moses Lake, WA 98837
Phone (509) 764-6522
8420 Aspi Blvd
Moses Lake, WA 98837
Phone (509) 793-9781
1550 S Pioneer Way
Ste 300
Moses Lake, WA 98837
Phone (509) 793-9783
1616 S Pioneer Way
Moses Lake, WA 98837
Interoperability endpoints
- aamidi1203463@wm.providencedirect.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO60793680 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1550 S Pioneer Way Ste 300
Moses Lake, WA 98837-4637
Mailing address
1616 S Pioneer Way
Moses Lake, WA 98837-2487
Phone (509) 793-9715
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2088625 | Medicaid | WA |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aamidi1203463@wm.providencedirect.org | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2026.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1992144398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 S PIONEER WAY",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988372487",
"telephone_number": "509-793-9715",
"fax_number": "509-764-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 S PIONEER WAY STE 300",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988374637",
"telephone_number": "509-793-9783",
"fax_number": "509-764-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIDI",
"first_name": "AREZOU",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO60793680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2088625",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aamidi1203463@wm.providencedirect.org",
"affiliation": "N",
"endpointDescription": "EPIC EMR",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1550 S Pioneer Way Ste 300",
"city": "Moses Lake",
"state": "WA",
"country_code": "US",
"postal_code": "988374637",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.