Individual provider Active NPI

Robert Christopher Andersen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
National Provider Identifier
1043446131
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0727 Issued in AZ
Practice address
3336 E Chandler Heights Rd Ste 121
Gilbert, AZ 85298-4263
Phone
(480) 245-7027
NPI assigned
Jun 3, 2009
Last updated
Apr 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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 0727 AZ Primary

Addresses

Primary practice location

3336 E Chandler Heights Rd Ste 121
Gilbert, AZ 85298-4263

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

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
I20111017000644 AZ Practitioner - Podiatry 1951573914 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2919 S Ellsworth Rd
Suite 124
Mesa, AZ 85212-2167
Phone (480) 907-7572

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue116
Removal of skin lesions31
Removal of nail tissue750
Removal or shaving of skin growth682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0727AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Valley Foot and Ankle PLLC Foot & Ankle Surgery CurrentSince Aug 30, 2017 Accepting new patients
Allen Foot and Ankle Medicine and Surgery PLC CurrentSince Jan 1, 2023 Accepting new patients
Allen Foot and Ankle Medicine and Surgery PLC Primary Podiatric Medicine CurrentSince Jan 1, 2023 Accepting new patients
Bradley L Newswander, DPM,PLC Primary Podiatric Medicine CurrentSince Jul 5, 2011 Accepting new patients

Locations

100 S McClintock Dr
Ste 100
Chandler, AZ 85226
Phone (480) 633-3388

3336 E Chandler Heights Rd
Ste 121
Gilbert, AZ 85298
Phone (480) 245-7027

2919 S Ellsworth Rd
Ste 124
Mesa, AZ 85212
Phone (480) 633-7944

13634 N 93rd Ave
Ste 200
Peoria, AZ 85381
Phone (480) 907-7572

37200 N Gantzel Rd
Ste 250
San Tan Vly, AZ 85140
Phone (480) 321-8267

10503 W Thunderbird Blvd
Ste 109
Sun City, AZ 85351
Phone (623) 875-5805

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1043446131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984263",
            "telephone_number": "480-245-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "ROBERT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.