Individual provider Active NPI

Kaveh Panahi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Peoria, AZ
National Provider Identifier
1003233834
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0793 Issued in AZ
Practice address
9179 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4912
Phone
(623) 439-2200
Fax
(623) 439-7370
NPI assigned
Mar 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0793 AZ Primary

Addresses

Primary practice location

9179 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4912

Mailing address

9179 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4912
Phone (623) 439-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604001062 AZ Practitioner - Podiatry 1850612706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9179 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-4912
Phone (623) 439-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue100
Removal of skin lesions55
Removal of nail tissue411
Removal or shaving of skin growth296
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0793AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lpwallmd PC PastSince Dec 15, 2024 Accepting new patients

Networks

  • NM HMO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1003233834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814912",
            "telephone_number": "623-439-2200",
            "fax_number": "623-439-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814912",
            "telephone_number": "623-439-2200",
            "fax_number": "623-439-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAHI",
        "first_name": "KAVEH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.