Individual provider Active NPI

George S Abdelmessieh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1104232115
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
874 Issued in AZ
Practice address
5300 E Erickson Dr Ste 118
Tucson, AZ 85712-2809
Phone
(520) 326-6766
Fax
(520) 740-1939
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academy Foot and Ankle Clinics LTD 2 clinicians

Practice addresses (Care Compare)

5300 E Erickson Dr
Suite 118
Tucson, AZ 85712-2809
Phone (520) 326-6766

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue91
Removal of skin lesions14
Removal of nail tissue49
Removal or shaving of skin growth32

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
I20180110003280 AZ Practitioner - Podiatry 6608135033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
874AZMDPsychologist
0116027575VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Foot and Ankle Clinics LTD Foot & Ankle Surgery CurrentSince Dec 15, 2017 Accepting new patients
T & L Foot & Ankle Surgeons Foot & Ankle Surgery PastSince Dec 15, 2017 Accepting new patients

Locations

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

1702 W Anklam Rd
Ste 112
Tucson, AZ 85745
Phone (520) 326-6766

7590 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 326-6766

5300 E Erickson Dr
Ste 118
Tucson, AZ 85712
Phone (520) 326-6766

Interoperability endpoints

  • Direct secure messaging: george.abdelmessieh.1@11628.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 874 AZ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 0116027575 VA

Addresses

NPPES NPI Registry

Primary practice location

5300 E Erickson Dr Ste 118
Tucson, AZ 85712-2809

Mailing address

5300 E Erickson Dr Ste 118
Tucson, AZ 85712-2809
Phone (520) 326-6766

Other practice location 1

1209 W Target Range Rd
Nogales, AZ 85621-2466
Phone (520) 326-6766

Other practice location 2

1702 W Anklam Rd Ste 112
Tucson, AZ 85745-2606
Phone (520) 326-6766

Other practice location 3

7590 N La Cholla Blvd
Tucson, AZ 85741-2307
Phone (520) 326-6766

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
341544MedicaidAZ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2019.

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1104232115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 E ERICKSON DR STE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122809",
            "telephone_number": "520-326-6766",
            "fax_number": "520-740-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 E ERICKSON DR STE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122809",
            "telephone_number": "520-326-6766",
            "fax_number": "520-740-1939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 W Target Range Rd",
            "address_purpose": "LOCATION",
            "city": "Nogales",
            "state": "AZ",
            "postal_code": "856212466",
            "country_code": "US",
            "telephone_number": "520-326-6766",
            "fax_number": "520-740-1939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1702 W Anklam Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452606",
            "country_code": "US",
            "telephone_number": "520-326-6766",
            "fax_number": "520-740-1939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7590 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412307",
            "country_code": "US",
            "telephone_number": "520-326-6766",
            "fax_number": "520-740-1939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELMESSIEH",
        "first_name": "GEORGE",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "874",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0116027575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341544",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.