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DR. RANDAL LEE WRAALSTAD D.P.M. NPI 1255334066


NPI Information

NPI: 1255334066
Provider Name: DR. RANDAL LEE WRAALSTAD, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: ST LUKES CLINIC LLC

PECOS Registration: Yes

Address:
714 N COLLEGE RD
SUITE A
TWIN FALLS, ID
ZIP 83301
Phone: (208) 814-7150
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DR. Randal Lee Wraalstad, D.P.M. is a foot and ankle surgery podiatrist in Twin Falls, ID with 30 years of experience. DR. Randal Lee Wraalstad, D.P.M. NPI is 1255334066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1994

The provider's business location address is:

714 N COLLEGE RD
SUITE A
TWIN FALLS, ID
ZIP 83301-812
Phone: (208) 814-7150
Fax: (208) 814-7170

The NPI 1255334066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

The enumeration date for this NPI number is 5/24/2005 and was last updated on 1/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryP152IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1804243900MEDICAIDIDAHO
24589590001MEDICARE NSCIDAHO
3U66389MEDICARE UPINIDAHO
4P00899555OTHERIDAHOMCRR
513508861MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.