Individual provider Active NPI

Keith Arbuckle, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Sun City West, AZ
National Provider Identifier
1073872859
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000836 Issued in AZ
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
016005677MedicaidIL
161742MedicaidAZ

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
I20160927002438 AZ Practitioner - Podiatry 4486968013 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billet Podiatry IncGroup PAC ID 1456769272, 7 clinicians
James P Huish DPM LLCGroup PAC ID 4789992082, 4 clinicians

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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1528
Removal or shaving of skin growth313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0836AZMDPodiatrist
POD000836AZMDFoot & Ankle Surgery Podiatrist
016005677ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Medical Inc Current Accepting new patients
Billet Podiatry Inc Podiatrist CurrentSince Feb 7, 2024 Accepting new patients
Bart J. Carter, M.D., P.C. CurrentSince Apr 1, 2026 Accepting new patients
James P Huish DPM LLC Podiatrist CurrentSince Apr 1, 2026 Accepting new patients
Southwest Foot Institute Inc Podiatrist CurrentSince Sep 13, 2022 Accepting new patients
Link Medical Inc CurrentSince Feb 3, 2024 Accepting new patients
Southwest Foot Institute Inc Primary Podiatric Medicine CurrentSince Sep 13, 2022 Accepting new patients
Barbara R Kluger Primary Podiatric Medicine PastSince Feb 7, 2024 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.