Individual provider Active NPI

John Anthony Charski, D.P.M.

  • Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1053361568
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM309 Issued in AZ
Practice address
9331 E Hillery Way
Scottsdale, AZ 85260-2857
Phone
(480) 614-1856
Fax
(480) 614-5345
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM309 AZ Primary

Addresses

Primary practice location

9331 E Hillery Way
Scottsdale, AZ 85260-2857

Mailing address

PO Box 13990
Scottsdale, AZ 85267-3990
Phone (480) 614-1856

Other identifiers 1

IdentifierTypeStateIssuer
700973MedicaidAZ

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
I20040720000437 AZ Practitioner - Podiatry 1951380336 Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9331 E Hillery Way
Scottsdale, AZ 85260-2857
Phone (480) 614-1856

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue4352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM309AZMDPodiatrist
0309AZMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1053361568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13990",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852673990",
            "telephone_number": "480-614-1856",
            "fax_number": "480-614-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 E HILLERY WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602857",
            "telephone_number": "480-614-1856",
            "fax_number": "480-614-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARSKI",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "DPM309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700973",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.