MERCER ISLAND FOOT AND ANKLE CLINIC PLLC
NPI 1275612483
Podiatrist in Mercer Island, WA

Active since November 06, 2006
3236 78TH AVENUE SE, #201, MERCER ISLAND, WA 98040(206) 275-9117(206) 275-3693 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mercer Island Foot And Ankle Clinic Pllc NPPES

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

MERCER ISLAND FOOT AND ANKLE CLINIC PLLC (NPI 1275612483) is a healthcare organization registered as a podiatrist in Mercer Island, Washington and active in the NPI registry since November 2006. The organization lists Mak S Abulhosn, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1275612483
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMERCER ISLAND FOOT AND ANKLE CLINIC PLLC
Location Address3236 78TH AVENUE SE, #201Mercer Island, WA 98040
Mailing Address3236 78th Avenue Se, #201Mercer Island, WA 98040 · (206) 275-9117 · Fax (206) 275-3693
Fax(206) 275-3693
Organization SubpartNo
Authorized OfficialMak S AbulhosnPodiatrist · (206) 275-9117
Enumeration DateNovember 6, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1275612483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in WA · PO730
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3236 78TH AVENUE SE, Mercer Island, WA 98040

Other Identifiers 5

OtherDG4542WA · Railroad Medicare
Medicaid7130693WA
Medicare UPINU90809
Other3488ABWA · Regence Bcbs
Medicare PING8857732WA

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercer Island Foot And Ankle Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20051223000113Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mercer Island Foot And Ankle Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1356524060
3236 78TH AVE SE STE 959
Mercer Island, WA 98040
(206) 609-0669
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1851933253
325 9TH AVE
Seattle, WA 98104
(206) 520-5000
✔ PECOS✔ Accepts Medicare4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mercer Island Foot And Ankle Clinic PLLC's NPI number?

The NPI number for Mercer Island Foot And Ankle Clinic PLLC is 1275612483. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Mercer Island Foot And Ankle Clinic PLLC located?

Mercer Island Foot And Ankle Clinic PLLC is located at 3236 78th Avenue SE #201, Mercer Island, WA 98040. The listed phone number is (206) 275-9117.

What is Mercer Island Foot And Ankle Clinic PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Mercer Island Foot And Ankle Clinic PLLC enrolled in Medicare?

Yes. Mercer Island Foot And Ankle Clinic PLLC is registered in the Medicare PECOS enrollment system.

When is Mercer Island Foot And Ankle Clinic PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mercer Island Foot And Ankle Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Mercer Island Foot And Ankle Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercer Island Foot And Ankle Clinic PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mercer Island Foot And Ankle Clinic PLLC 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 Mercer Island Foot And Ankle Clinic PLLC was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.