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EASTSIDE PODIATRY CLINIC
NPI 1750796579
Podiatrist - Foot & Ankle Surgery in Bellevue, WA

Active since July 01, 2014
2950 NORTHUP WAY, SUITE #115, BELLEVUE, WA 98004(425) 893-8100(425) 893-8111 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eastside Podiatry Clinic NPPES

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

EASTSIDE PODIATRY CLINIC (NPI 1750796579) is a healthcare organization registered as a foot & ankle surgery in Bellevue, Washington and active in the NPI registry since July 2014. The organization lists Taesoon Park, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1750796579
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMETROLIANCE FOOT AND ANKLE GROUP
Location Address2950 NORTHUP WAY, SUITE #115Bellevue, WA 98004-1406
Mailing Address2950 Northup Way, Suite #115Bellevue, WA 98004-1406 · (425) 893-8100 · Fax (425) 893-8111
Phone(425) 893-8100
Fax(425) 893-8111
Organization SubpartNo
Authorized OfficialTaesoon ParkManager/owner · (206) 707-4747
Enumeration DateJuly 1, 2014
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1750796579 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
License✔ Licensed in WA · PO 60234756
2950 NORTHUP WAY, Bellevue, WA 98004
Open in Google Maps ↗

Other Names 1

Doing Business AsEastside Podiatry Clinic

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastside Podiatry Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastside Podiatry Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tae Soon Park, D.P.M.
Podiatry
NPI 1528226263
2950 NORTHUP WAY STE 115
Bellevue, WA 98004
(425) 893-8100
✔ PECOS✔ Accepts MedicareSame address

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 Metroliance Foot And Ankle Group's NPI number?

The NPI number for Metroliance Foot And Ankle Group is 1750796579. It was assigned to this organization in the NPPES registry on July 1, 2014. The provider is doing business as Eastside Podiatry Clinic.

Where is Metroliance Foot And Ankle Group located?

Metroliance Foot And Ankle Group is located at 2950 Northup Way Suite #115, Bellevue, WA 98004. The listed phone number is (425) 893-8100.

What is Metroliance Foot And Ankle Group's specialty?

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

Is Metroliance Foot And Ankle Group enrolled in Medicare?

Yes. Metroliance Foot And Ankle Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Metroliance Foot And Ankle Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Metroliance Foot And Ankle Group. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Metroliance Foot And Ankle Group accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Metroliance Foot And Ankle Group 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 Metroliance Foot And Ankle Group was last updated on September 28, 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.