Individual provider Active NPI

Mira Pandya

  • Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1164954756
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000987 Issued in AZ
Practice address
7301 E 2ND St Ste 310
Scottsdale, AZ 85251-5627
Phone
(877) 821-4657
Fax
(866) 207-6786
NPI assigned
Apr 1, 2017
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000987 AZ Primary

Addresses

Primary practice location

7301 E 2ND St Ste 310
Scottsdale, AZ 85251-5627

Mailing address

7301 E 2ND St Ste 310
Scottsdale, AZ 85251-5627
Phone (877) 821-4657

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
I20210803001086 AZ Practitioner - Podiatry 3375964836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Orthopedics Center PLLCGroup PAC ID 7012279649, 10 clinicians

Practice addresses (Care Compare)

7301 E 2ND St
Suite 310
Scottsdale, AZ 85251-5627
Phone (877) 821-4657

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions13
Removal of nail tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000987AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Orthopedics Center PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

6320 W Union Hills Dr
Ste 1400B
Glendale, AZ 85308
Phone (623) 686-5400

6320 W Union Hills Dr
Ste B1400
Glendale, AZ 85308
Phone (602) 528-0060

7301 E 2nd St
Ste 310
Scottsdale, AZ 85251
Phone (480) 947-7738

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

7960 E Thompson Peak Pkwy
Ste 104
Scottsdale, AZ 85255
Phone (210) 322-3242

Organizations & group practices 1

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 5

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1164954756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 310",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515627",
            "telephone_number": "877-821-4657",
            "fax_number": "866-207-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 310",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515627",
            "telephone_number": "877-821-4657",
            "fax_number": "866-207-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "MIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD000987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.