Keith Thomas Bangart, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0724 Issued in AZ

Practice address

13660 N 94TH Dr
#F1
Peoria, AZ 85381-4836

Phone

(623) 974-0522

Fax

(623) 933-5787

NPI assigned

Mar 24, 2011

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Podiatry

Education

Mid West Medical College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health of Beech Home health agency, Sun City West, AZ, CCN 037413

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EACIDD/Endpoint/EACIDD
• FHIR API: https://fhir4.healow.com/fhir/r4/JJCHCD
• FHIR API: https://fhir4.healow.com/fhir/r4/JJCHCD/Endpoint/JJCHCD

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

• Keith Bangart DPM PC

  • Podiatrist
  • Peoria, AZ
  • NPI 1699065839
  Medicare reassignment NPD Authorized official
• Alliance Medical Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Buckeye, AZ
  • NPI 1902632664
  Medicare reassignment NPD
• Galaxy Anesthesia Services, LLC

  • Anesthesiology Physician
  • Peoria, AZ
  • NPI 1346851276
  Authorized official Same address or phone

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

• Beech Home Care & Medical, Inc.

  dba Angels Care Home Health of Beech

  • Home Health Agency
  • Sun City West, AZ
  • NPI 1376782987
  Care Compare affiliation

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013216373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR",
            "address_2": "#F1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR",
            "address_2": "#F1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGART",
        "first_name": "KEITH",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC PTAN",
            "identifier": "6647440001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "0724",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary L Ballejos
• Maria Ballon
• Azam Banaian, NMD
• Dana Rene' Banfield
• Daniel L Bangart, DPM
• Ryan Daniel Bangart, DPM
• Parmjeet Kumar Banghar, M.D.
• Renee Banke, RN, MSCJ
• Candace Raelynn Banks, M.A.
• Moustafa Banna, MD

• Podiatrist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.