NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC
NPI 1477640779
Podiatrist in Everett, WA
About Northwest Foot And Ankle Physicians And Surgeons, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC (NPI 1477640779) is a healthcare organization registered as a podiatrist in Everett, Washington and active in the NPI registry since October 2006. The organization lists Gordon Suichi Nishimoto, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northwest Foot And Ankle Physicians And Surgeons, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Northwest Foot And Ankle Physicians And Surgeons, LLC, 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 (3)
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 Northwest Foot And Ankle Physicians And Surgeons, LLC's NPI number?
The NPI number for Northwest Foot And Ankle Physicians And Surgeons, LLC is 1477640779. It was assigned to this organization in the NPPES registry on October 6, 2006.
Where is Northwest Foot And Ankle Physicians And Surgeons, LLC located?
Northwest Foot And Ankle Physicians And Surgeons, LLC is located at 10821 19th Ave SE, Everett, WA 98208. The listed phone number is (425) 337-7000.
What is Northwest Foot And Ankle Physicians And Surgeons, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Northwest Foot And Ankle Physicians And Surgeons, LLC enrolled in Medicare?
Yes. Northwest Foot And Ankle Physicians And Surgeons, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northwest Foot And Ankle Physicians And Surgeons, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Northwest Foot And Ankle Physicians And Surgeons, LLC. 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.
When was this NPI record last updated?
The NPPES record for Northwest Foot And Ankle Physicians And Surgeons, LLC was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Northwest Foot And Ankle Physicians And Surgeons, Llc · NPI 1477640779
Podiatrist organization in Everett, Washington. Organization record, active in the CMS NPPES registry since October 6, 2006.
## Identity
- **NPI:** 1477640779 (Entity type: Organization)
- **Enumerated:** October 6, 2006
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Gordon Nishimoto, PRESIDENT
## Practice location
- **Address:** 10821 19TH AVE SE, Everett, WA 98208-5103
- **Phone:** (425) 337-7000 · **Fax:** (425) 338-2408
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2015
- **Other identifiers:** Medicare NSC 4965350001 (WA); Medicare PIN AB29341 (WA); Medicaid 7138191 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1477640779) · Data from the CMS NPPES public registry.