Active NPI
Keith Arbuckle, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD000836
- Practice address
- 13949 W Meeker Blvd Ste B
Sun City West, AZ 85375 - Phone
- (602) 675-0478
- Fax
- (602) 675-0479
- NPI assigned
- May 14, 2012
- Last updated
- Nov 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0836 | AZ | |
| Podiatrist | 213E00000X | 016005677 | IL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016005677 | IL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD000836 | AZ | Primary |
Addresses
Primary practice location
13949 W Meeker Blvd Ste B
Sun City West, AZ 85375
Mailing address
18301 N 79TH Ave Ste F168
Glendale, AZ 85308-6045
Phone (602) 675-0478
Other practice location 1
14973 W Bell Rd Ste 100
Surprise, AZ 85374-3878
Phone (602) 675-0478
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016005677 | Medicaid | IL | |
| 161742 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13825 N 7TH St
Suite J
Phoenix, AZ 85022-4342
Phone (480) 391-9193
2151 S Hwy 92
Suite 114
Sierra Vista, AZ 85635-6693
Phone (520) 515-3668
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1528 |
| Removal or shaving of skin growth | 313 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0836 | AZ | MD | Podiatrist |
| POD000836 | AZ | MD | Foot & Ankle Surgery Podiatrist |
| 016005677 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Medical Inc | Current | Accepting new patients | |
| Billet Podiatry Inc | Podiatrist | Current | Accepting new patients |
| Bart J. Carter, M.D., P.C. | Current | Accepting new patients | |
| James P Huish DPM LLC | Podiatrist | Current | Accepting new patients |
| Southwest Foot Institute Inc | Podiatrist | Current | Accepting new patients |
| Link Medical Inc | Current | Accepting new patients | |
| Southwest Foot Institute Inc | Primary Podiatric Medicine | Current | Accepting new patients |
| Barbara R Kluger | Primary Podiatric Medicine | Past | Accepting new patients |
Locations
1555 Ramar Rd
Bullhead City, AZ 86442
Phone (702) 960-6930
18301 N 79th Ave
Ste C130
Glendale, AZ 85308
Phone (602) 340-8686
18301 N 79th Ave
Ste F168
Glendale, AZ 85308
Phone (602) 633-2246
5681 W Beverly Ln
Ste 100A
Glendale, AZ 85306
6710 N 47th Ave
Ste 4
Glendale, AZ 85301
6710 N 47th Ave
Ste 8
Glendale, AZ 85301
Phone (623) 842-3077
13825 N 7th St
Ste J
Phoenix, AZ 85022
Phone (480) 391-9193
2240 W 16th St
Safford, AZ 85546
Phone (928) 348-3700
10900 N Scottsdale Rd
Ste 205
Scottsdale, AZ 85254
Phone (480) 536-1375
9755 N 90th St
Ste A110
Scottsdale, AZ 85258
Phone (480) 391-9193
2151 S Highway 92
Ste 114
Sierra Vista, AZ 85635
Phone (520) 417-3080
13949 W Meeker Blvd
Ste B
Sun City West, AZ 85375
Phone (602) 675-0478
519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- keith.arbuckle@333469286662148.direct.elationemr.com
Organizations & group practices 8
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.
-
- Foot & Ankle Surgery Podiatrist
- Safford, AZ
- NPI 1396129730
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1073031357
-
- Primary Podiatric Medicine Podiatrist
- Phoenix, AZ
- NPI 1871678979
-
- Surgery Physician
- Safford, AZ
- NPI 1134229289
-
- Podiatrist
- Sun City, AZ
- NPI 1689352692
-
- Primary Podiatric Medicine Podiatrist
- Phoenix, AZ
- NPI 1376725895
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Peoria, AZ
- NPI 1538686761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1073872859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18301 N 79TH AVE STE F168",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086045",
"telephone_number": "602-675-0478",
"fax_number": "602-675-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13949 W MEEKER BLVD STE B",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "85375",
"telephone_number": "602-675-0478",
"fax_number": "602-675-0479"
}
],
"practiceLocations": [
{
"address_1": "14973 W Bell Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853743878",
"country_code": "US",
"telephone_number": "602-675-0478",
"fax_number": "602-675-0479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARBUCKLE",
"first_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "0836",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005677",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016005677",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "POD000836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016005677",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161742",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
- Apache Trail Healthcare, Inc. (Sun West Choice Healthcare and Rehabilitation)
- Apple Tree Home Health PLLC
- Ali Araghi, DO
- Arash Araghi, D.O.
- Aldo Aranda, MD
- Arc Sun City West LLC (Innovative Senior Care at Freedom Inn at Sun City West)
- Anthony Argomaniz, RBT
- Arizona Audiology & Hearing Associates Inc
- Arizona Audiology & Hearing, Inc.
- Arizona Audiology & Hearing, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.