Individual provider

Shawn Khademi, DPM

Foot & Ankle Surgery Podiatrist Medicare enrolled

Shawn Khademi, DPM is a provider specialising in Foot & Ankle Surgery Podiatrist in Renton, WA, registered under NPI 1124412184. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4300 TALBOT RD S STE 102, Renton, WA 98055. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4300 TALBOT RD S STE 102, Renton, WA 98055 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PO61142698 WA Foot & Ankle Surgery Podiatrist primary
016005850 IL Foot & Ankle Surgery Podiatrist
1348 MA Foot & Ankle Surgery Podiatrist

Licences are recorded in 3 states: WA, IL, MA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Podiatry
PAC ID
0547591570

Medicare enrolment is recorded as approved under the provider type Practitioner - Podiatry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Illinois, Massachusetts and Washington. The practice address on file is in Renton, WA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
016005850
Specialty
Foot & Ankle Surgery Podiatrist
Verify with the IL board →
MA Massachusetts
Licence
1348
Specialty
Foot & Ankle Surgery Podiatrist
Verify with the MA board →
WA Washington practice address
Licence
PO61142698
Specialty
Foot & Ankle Surgery Podiatrist
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Foot & Ankle Surgery covers

Definition to come... NUCC Health Care Provider Taxonomy, code 213ES0103X
Podiatric Medicine & Surgery Service Providers Podiatrist Foot & Ankle Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
213ES0103X Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery PO61142698 WA primary
213ES0103X Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery 016005850 IL
213ES0103X Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery 1348 MA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124412184 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 26, 2015
Last updatedDec 4, 2021
StatusActive
Sole proprietorYes
CredentialDPM
Practice address 4300 TALBOT RD S STE 102
Renton, WA 98055
(425) 277-3668
The last update on file is Dec 4, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1124412184 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 4 1 2 1 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 8 1 4 1 7

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124412184?
NPI 1124412184 is the National Provider Identifier assigned to Shawn Khademi, DPM in Renton, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Foot & Ankle Surgery cover?
Definition to come...
How do I contact Shawn Khademi, DPM?
The phone number on file with NPPES is (425) 277-3668, last updated Dec 4, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shawn Khademi, DPM accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124412184 a valid number?
Yes. 1124412184 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.