Blair James Sandall, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0704 Issued in AZ

Practice address

1347 N. Greenfield Rd
Suite 101
Mesa, AZ 85205-4072

Phone

(480) 699-8762

Fax

(480) 699-8350

NPI assigned

May 20, 2009

Last updated

Aug 2, 2016By 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 1

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

California School of Podiatric Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Practice roles

Locations

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.

• Arizona Foot and Ankle Medicine and Surgery, PLC

  • Podiatrist
  • Mesa, AZ
  • NPI 1871898288

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official
• Desert Run Multispecialty PLC

  • Interventional Cardiology Physician
  • Phoenix, AZ
  • NPI 1386795771
  NPD (past)
• East Valley Bone and Joint PLLC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Mesa, AZ
  • NPI 1598363228
  NPD (past)
• Eulano Foot and Ankle PC

  dba Eulano Foot and Ankle PC - Phoenix

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
  • NPI 1902555022
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1043445091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 N GREENFIELD RD",
            "address_2": "STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054072",
            "telephone_number": "480-382-6619",
            "fax_number": "866-646-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 N. GREENFIELD RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054072",
            "telephone_number": "480-699-8762",
            "fax_number": "480-699-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDALL",
        "first_name": "BLAIR",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "531450",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viviana Sanchez
• Milagros Sancho
• Sanctuary Behavioral Health LLC
• Brian Sand, DPT
• Jacklyne Sandaldjian
• Ryan Scott Sandberg, OD
• Alvin Benjamin Sanders, D.C.
• Casey Sanders, LMT
• Chantel Alani Sanders
• Dana Sanders, FNP-C

• Foot & Ankle Surgery Podiatrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.