Active NPI
George S Abdelmessieh, DPM
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 874
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
- NPI 1477730315
AZ, Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Avondale, AZ
- NPI 1700068228
Foot & Ankle Surgery
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
Practice addresses (Care Compare)
5300 E Erickson Dr
Suite 118
Tucson, AZ 85712-2809
Phone (520) 326-6766
Hospital & facility affiliations
- Tucson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 91 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 49 |
| Removal or shaving of skin growth | 32 |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180110003280 | AZ | Practitioner - Podiatry | 6608135033 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 874 | AZ | MD | Psychologist |
| 0116027575 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academy Foot and Ankle Clinics LTD | Foot & Ankle Surgery | Current | Accepting new patients |
| T & L Foot & Ankle Surgeons | Foot & Ankle Surgery | Past | 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
- george.abdelmessieh.1@11628.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 874 | AZ | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0116027575 | VA |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341544 | Medicaid | AZ |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.