Individual provider Active NPI

Ryan Pinedo, DPM

  • Podiatrist
  • Phoenix, AZ
National Provider Identifier
1194177782
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD-001015 Issued in AZ
Practice address
926 E McDowell Rd Ste 121
Phoenix, AZ 85006-2500
Phone
(602) 340-8686
Fax
(602) 340-8061
NPI assigned
Jul 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 10383566-0501 UT
Podiatrist 213E00000X POD-001015 AZ Primary

Addresses

Primary practice location

926 E McDowell Rd Ste 121
Phoenix, AZ 85006-2500

Mailing address

926 E McDowell Rd Ste 121
Phoenix, AZ 85006-2500
Phone (602) 340-8686

Other practice location 1

3900 Joe Ramsey Blvd E Bldg 5
Greenville, TX 75401-7727
Phone (903) 455-2373

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
I20211104002294 AZ Practitioner - Podiatry 8123357688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of Arizona PLLCGroup PAC ID 7113359555, 15 clinicians

Practice addresses (Care Compare)

18301 N 79TH Ave
Suite F168
Glendale, AZ 85308-6045
Phone (623) 544-9090

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue39
Removal of skin lesions13
Removal of nail tissue417
Removal or shaving of skin growth214
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10383566-0501UTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Center of North Texas, LLC Single Specialty CurrentSince Jul 8, 2019 Accepting new patients
Southwest Foot Institute Inc Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Foot & Ankle Specialists of Arizona PLLC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Foot & Ankle Specialists of Arizona PLLC Single Specialty CurrentSince Apr 28, 2022 Accepting new patients
Southwest Foot Institute Inc Podiatrist CurrentSince Oct 1, 2021 Accepting new patients

Locations

18301 N 79th Ave
Ste F168
Glendale, AZ 85308
Phone (602) 633-2246

18301 N 79th Ave
Ste C130
Glendale, AZ 85308
Phone (602) 340-8686

18301 N 79th Ave
Ste 130
Glendale, AZ 85308

926 E McDowell Rd
Ste 121
Phoenix, AZ 85006
Phone (602) 340-8686

10900 N Scottsdale Rd
Ste 205
Scottsdale, AZ 85254
Phone (480) 536-1375

3900 Joe Ramsey Blvd E
Bldg 5
Greenville, TX 75401
Phone (903) 455-2373

810 E Ralph Hall Pkwy
Ste 130
Rockwall, TX 75032
Phone (469) 402-3460

Interoperability endpoints

  • Direct secure messaging: dr.pinedo@swcp-az.direct.office.nextgen.com

Organizations & group practices 5

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 2

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1194177782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E MCDOWELL RD STE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062500",
            "telephone_number": "602-340-8686",
            "fax_number": "602-340-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E MCDOWELL RD STE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062500",
            "telephone_number": "602-340-8686",
            "fax_number": "602-340-8061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Joe Ramsey Blvd E Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017727",
            "country_code": "US",
            "telephone_number": "903-455-2373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDO",
        "first_name": "RYAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "10383566-0501",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD-001015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.