Active NPI
Evelyn Heigh-Rosen, D.P.M.
- Podiatrist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 847
- Practice address
- 5620 W Thunderbird Rd
Glendale, AZ 85306-4636 - Phone
- (602) 938-6960
- Fax
- (602) 938-6069
- NPI assigned
- Apr 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 847 | AZ | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 847 | AZ |
Addresses
Primary practice location
5620 W Thunderbird Rd
Glendale, AZ 85306-4636
Mailing address
5620 W Thunderbird Rd Ste G2
Glendale, AZ 85306-4652
Phone (886) 986-7278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Glendale |
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
- Arizona College of Osteopathic Medicine Mid Western University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19389 N 59TH Ave
Glendale, AZ 85308-6500
Phone (623) 537-6000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 49 |
| Removal of nail tissue | 178 |
| Removal or shaving of skin growth | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5320 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group Arizona LLC | Podiatrist | Current | Accepting new patients |
| Midwestern University | Podiatrist | Current | Accepting new patients |
| Midwestern University | Current | Accepting new patients | |
| University Foot and Ankle Institute a Podiatric Surgical Center | Podiatrist | Past | Accepting new patients |
Locations
5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960
5620 W Thunderbird Rd
Ste G2
Glendale, AZ 85306
Phone (602) 938-3600
19389 N 59th Ave
Glendale, AZ 85308
19555 N 59th Ave
Glendale, AZ 85308
Phone (623) 572-3200
14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599
14418 W Meeker Blvd
Ste 110
Sun City West, AZ 85375
Phone (623) 377-7410
26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500
Interoperability endpoints
- eheighrosen18709@direct.midwestern.edu
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 and National Provider Directory roles.
-
- Optometrist
- Downers Grove, IL
- NPI 1295126324
-
- Podiatrist
- Santa Monica, CA
- NPI 1912014986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1073933826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 W THUNDERBIRD RD STE G2",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064652",
"telephone_number": "886-986-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 W THUNDERBIRD RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064636",
"telephone_number": "602-938-6960",
"fax_number": "602-938-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIGH-ROSEN",
"first_name": "EVELYN",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-20",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "847",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "847",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Glendale",
"affiliation": "N",
"address_1": "5620 W Thunderbird Rd",
"city": "Glendale",
"state": "AZ",
"country_code": "US",
"postal_code": "853064636",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.