NORTHWEST FOOT AND ANKLE SPECIALISTS, LLC
NPI 1790337194
Podiatrist in Bothell, WA

Q: What is Northwest Foot And Ankle Specialists, LLC's specialty?

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

Active since July 15, 2019

12900 NE 180TH ST STE 150, BOTHELL, WA 98011(206) 365-5484(206) 365-5714 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2021, Apr 6, 2021, Mar 11, 2021 and 2 more (5 updates tracked since 2019).

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About Northwest Foot And Ankle Specialists, Llc NPPES

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

NORTHWEST FOOT AND ANKLE SPECIALISTS, LLC (NPI 1790337194) is a healthcare organization registered as a podiatrist in Bothell, Washington and active in the NPI registry since July 2019. The organization lists Kelly J. Hall, Owner/staffing Member/physician, as its authorized official.

NPPES Registry Identity

NPI1790337194

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameNORTHWEST FOOT AND ANKLE SPECIALISTS, LLC

Location Address12900 NE 180TH ST STE 150Bothell, WA 98011-5778

Mailing Address12900 Ne 180th St, Ste 150Bothell, WA 98011 · (206) 365-5484 · Fax (206) 365-5714

Phone(206) 365-5484

Fax(206) 365-5714

Organization SubpartNo

Authorized OfficialKelly J. HallOwner/staffing Member/physician · (206) 365-5484

Enumeration DateJuly 15, 2019

Last NPPES UpdateSeptember 20, 20215 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2021

✔ NPI 1790337194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

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.

12900 NE 180TH ST STE 150, Bothell, WA 98011

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Other Identifiers 5

OtherHA0967WA · Regence

Medicaid1106699WA

Other5815682WA · Aetna

Medicaid1043268WA

Other1205932191WA · Provider Npi

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.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)

Northwest Foot And Ankle Specialists, Llc 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 Northwest Foot And Ankle Specialists, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Hall, DPM

Podiatry

NPI 1205932191

12900 NE 180TH ST STE 150
Bothell, WA 98011

(206) 365-5484

✔ 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 Northwest Foot And Ankle Specialists, LLC's NPI number?

The NPI number for Northwest Foot And Ankle Specialists, LLC is 1790337194. It was assigned to this organization in the NPPES registry on July 15, 2019.

Where is Northwest Foot And Ankle Specialists, LLC located?

Northwest Foot And Ankle Specialists, LLC is located at 12900 NE 180th St Ste 150, Bothell, WA 98011. The listed phone number is (206) 365-5484.

What is Northwest Foot And Ankle Specialists, LLC's specialty?

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

Is Northwest Foot And Ankle Specialists, LLC enrolled in Medicare?

Yes. Northwest Foot And Ankle Specialists, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Foot And Ankle Specialists, LLC?

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

What insurance does Northwest Foot And Ankle Specialists, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Northwest Foot And Ankle Specialists, LLC 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 Northwest Foot And Ankle Specialists, LLC was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.