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CLOVER PODIATRY PLLC
NPI 1912525288
Podiatrist - Foot & Ankle Surgery in Camas, WA

Active since July 13, 2020
405 NE 6TH AVE, CAMAS, WA 98607(360) 450-6644(360) 524-7847 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2021, Jul 13, 2020 (2 updates tracked since 2020).

About Clover Podiatry Pllc NPPES

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

CLOVER PODIATRY PLLC (NPI 1912525288) is a healthcare organization registered as a foot & ankle surgery in Camas, Washington and active in the NPI registry since July 2020. The organization lists Tek Manning Fish, Surgeon/owner, as its authorized official.

NPPES Registry Identity

NPI1912525288
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCLOVER PODIATRY PLLC
Location Address405 NE 6TH AVECamas, WA 98607-2037
Mailing Address405 Ne 6th AveCamas, WA 98607-2037 · (360) 450-6644 · Fax (360) 524-7847
Phone(360) 450-6644
Fax(360) 524-7847
Organization SubpartNo
Authorized OfficialTek Manning FishSurgeon/owner · (360) 450-6644
Enumeration DateJuly 13, 2020
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1912525288 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
405 NE 6TH AVE, Camas, WA 98607
Open in Google Maps ↗

Other Identifiers 1

Medicaid2169432WA

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 Ambetter Health, BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Clover Podiatry 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 (4)

Tek Fish, DPM
Podiatry
NPI 1245763127
405 NE 6TH AVE
Camas, WA 98607
(360) 450-6644
✔ PECOS✔ Accepts MedicareSame address
Jeffery Linscheid, DPM
Podiatry
NPI 1942843735
2415 SE 165TH AVE
Vancouver, WA 98683
(360) 450-6644
✔ PECOS✔ Accepts Medicare4.8 mi
Douglas Rutan, DPM
Podiatry
NPI 1821081613
100 E 33RD ST STE 206
Vancouver, WA 98663
(360) 695-1334
✔ PECOS✔ Accepts Medicare13 mi
Kasra Karamlou, DPM
Podiatry
NPI 1891431722
2205 NE 129TH ST
Vancouver, WA 98686
(360) 450-6644
✔ PECOS✔ Accepts Medicare15 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 Clover Podiatry PLLC's NPI number?

The NPI number for Clover Podiatry PLLC is 1912525288. It was assigned to this organization in the NPPES registry on July 13, 2020.

Where is Clover Podiatry PLLC located?

Clover Podiatry PLLC is located at 405 NE 6th Ave, Camas, WA 98607. The listed phone number is (360) 450-6644.

What is Clover Podiatry PLLC's specialty?

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

Is Clover Podiatry PLLC enrolled in Medicare?

Yes. Clover Podiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clover Podiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Clover Podiatry 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 Clover Podiatry PLLC accept?

Health plans from Ambetter Health, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Clover Podiatry 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 Clover Podiatry PLLC was last updated on January 22, 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.