SHAWN B KHADEMI DPM
NPI 1124412184
Podiatrist - Foot & Ankle Surgery in Renton, WA

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment
4300 TALBOT RD S STE 102, RENTON, WA 98055(425) 277-3668 Get Directions Write a Review

NPPES record last updated: December 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2021, Aug 27, 2020, Jun 23, 2016 (3 updates tracked since 2016).

About Shawn B Khademi Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN B KHADEMI DPM (NPI 1124412184) is an individual foot & ankle surgery provider in Renton, Washington, licensed in Washington (PO61142698) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124412184
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameSHAWN B KHADEMICredential: DPM
Location Address4300 TALBOT RD S STE 102Renton, WA 98055-6238
Mailing Address4300 Talbot Rd S Ste 102Renton, WA 98055-6238 · (425) 277-3668
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 26, 2015
Last NPPES UpdateDecember 4, 20213 updates tracked since enumeration
NPPES CertifiedDecember 4, 2021
NPI 1124412184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in WA · PO61142698 Licensed in IL · 016005850 Licensed in MA · 1348
4300 TALBOT RD S STE 102, Renton, WA 98055

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shawn B Khademi Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547591570
PECOS Enrollment IDI20220510001434
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services54 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
60 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
58 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services26 patients
Simple separation of fingernail or toenail from nail bed, first nail 11730
This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
19 services16 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
4300 TALBOT RD S STE 102
RENTON, WA 98055
Podiatrist (Foot & Ankle Surgery)
4300 TALBOT RD S STE 102
RENTON, WA 98055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn Khademi's NPI number?

The NPI number for Shawn Khademi is 1124412184. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Shawn Khademi located?

Shawn Khademi practices at 4300 Talbot Rd S Ste 102, Renton, WA 98055. The listed phone number is (425) 277-3668.

What is Shawn Khademi's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Shawn Khademi enrolled in Medicare?

Yes. Shawn Khademi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shawn Khademi accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shawn Khademi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawn Khademi was last updated on December 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.