Heidi S. Rendall, MD
Family Medicine in Mukilteo, WA. Individual provider (NPI-1).
NPI number1497900609
StatusActive
Last updated in NPPESApr 6, 2010
Details
- NPI
- 1497900609
- Entity type
- Individual (NPI-1)
- Name
- Heidi S. Rendall
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2008
- Last updated
- Apr 6, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Apr 9, 2014 to Apr 9, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00019337 | WA | Yes |
Practice location
8227 44th Ave W.Ste E
Mukilteo, WA 98275
Phone 425-347-1666 · Fax 425-355-5551
Mailing address
P.O. Box 959Mukilteo, WA 98275
Phone 425-347-1666 · Fax 425-355-5551
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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