Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawn B Khademi, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1124412184

Shawn B Khademi, DPM is a Podiatry in Renton, Washington. Qualified in 2016, 10 years ago. Practices with Northwest Foot and Ankle Center Ps, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois, Massachusetts and Washington.

Years since qualifying
10
Licensed in
IL, MA, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4300 Talbot Rd S Ste 102
Renton, WA 98055-6238
Phone: (425) 277-3668
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO61142698 (WA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 016005850 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 1348 (MA)

Record details

NPI number1124412184
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMarch 26, 2015
Last updated in NPPESDecember 4, 2021
Certification dateDecember 4, 2021
Mailing address4300 Talbot Rd S Ste 102, Renton, WA 98055-6238

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northwest Foot And Ankle Center Ps — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Renton