Individual provider Active NPI

Dylan Kaumaya, DPM

  • Podiatrist
  • Peoria, AZ
National Provider Identifier
1073002168
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD-001004 Issued in AZ
Practice address
13660 N 94TH Dr Ste A3
Peoria, AZ 85381-4836
Phone
(623) 933-4645
NPI assigned
May 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X POD-001004 AZ Primary

Addresses

Primary practice location

13660 N 94TH Dr Ste A3
Peoria, AZ 85381-4836

Mailing address

13660 N 94TH Dr Ste A3
Peoria, AZ 85381-4836
Phone (623) 933-4645

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dylan.kaumaya@RFaA-AZ.direct.office.nextgen.com Direct

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
I20210804004324 AZ Practitioner - Podiatry 8527462092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Margaret a. Withrow, DPM, PCGroup PAC ID 2365524246, 2 clinicians

Practice addresses (Care Compare)

13660 N 94TH Dr
Suite A3
Peoria, AZ 85381-4836
Phone (623) 933-4645

Hospital & facility affiliations

  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue108
Removal of skin lesions1-10
Removal of nail tissue1092
Removal or shaving of skin growth668
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-001004AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret a. Withrow, DPM, PC Podiatrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

13660 N 94th Dr
Ste A3
Peoria, AZ 85381
Phone (623) 933-4645

Interoperability endpoints

  • Direct secure messaging: dylan.kaumaya@rfaa-az.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1073002168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE A3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-933-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE A3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-933-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUMAYA",
        "first_name": "DYLAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD-001004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dylan.kaumaya@RFaA-AZ.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "Margaret A Withrow DPM PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "13660 N 94th Dr Ste A3",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853814836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.