Mario Ponticello, DPM
NPI 1134395734 · Foot & Ankle Surgery Podiatrist · Tacoma, WA
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Ponticello, DPM is a Foot & Ankle Surgery Podiatrist provider in Tacoma, WA (NPI 1134395734).
Provider details
- NPI number
- 1134395734
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 950-25 (WI)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-03
- Last updated
- 2024-01-05
- Certified
- 2024-01-05
Frequently asked questions
- What is Mario Ponticello's NPI number?
- Mario Ponticello's National Provider Identifier (NPI) is 1134395734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Ponticello's specialty?
- Mario Ponticello is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Mario Ponticello located?
- Mario Ponticello's practice location on file with NPPES is 9040 Jackson Ave, Tacoma, WA 98431-0001.
- What is Mario Ponticello's phone number?
- The practice phone number listed in the NPPES registry for Mario Ponticello is (253) 968-3505.
- Does Mario Ponticello accept Medicare?
- Mario Ponticello is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Ponticello's NPI active?
- Yes — Mario Ponticello's NPI (1134395734) is active in the NPPES registry as of the last update on 2024-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.