ANTHONY MOLLICA D.P.M.
NPI 1417307679
Podiatrist in Bellevue, WA

Q: What is Anthony Mollica's NPI number?

The NPI number for Anthony Mollica is 1417307679. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Q: What is Anthony Mollica's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Mollica was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment

11511 NE 10TH ST, BELLEVUE, WA 98004(425) 502-3000(425) 502-4233 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2022, Jun 20, 2016 (2 updates tracked since 2016).

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About Anthony Mollica D.p.m. NPPES

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

ANTHONY MOLLICA D.P.M. (NPI 1417307679) is an individual podiatrist in Bellevue, Washington, licensed in Washington (PO61317396) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417307679

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameANTHONY MOLLICACredential: D.P.M.

Location Address11511 NE 10TH STBellevue, WA 98004-8578

Mailing Address22101 Moross RdDetroit, MI 48236-2148 · (623) 760-6255

Phone(425) 502-3000

Fax(425) 502-4233

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 20, 2016

Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1417307679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in WA · PO61317396

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.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 5901002799 (MI)

11511 NE 10TH ST, Bellevue, WA 98004

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Secondary Practice Location 1

Location 122201 Moross Rd Ste 250Detroit, MI 48236-2175 · Phone (313) 343-6393

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Anthony Mollica D.p.m. 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 ID4284925991

PECOS Enrollment IDI20221005002818

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

PATSY C LAZAROUS MD

Internal Medicine