Individual provider Active NPI

Adi Pajazetovic, DPM

  • Podiatrist
  • Tucson, AZ
National Provider Identifier
1225527443
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
692332 Issued in TX
Practice address
4816 E Camp Lowell Dr
Tucson, AZ 85712-1276
Phone
(520) 881-8640
Fax
(520) 881-0332
NPI assigned
May 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD-001001 AZ
Podiatrist 213E00000X 692332 TX Primary

Addresses

Primary practice location

4816 E Camp Lowell Dr
Tucson, AZ 85712-1276

Mailing address

4816 E Camp Lowell Dr
Tucson, AZ 85712-1276
Phone (520) 881-8640

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
I20210803003612 AZ Practitioner - Podiatry 4385048057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Vital Care LLCGroup PAC ID 3870942428, 19 clinicians
Brian P Hutcheson DPM PLLCGroup PAC ID 6901215425, 2 clinicians
Jeffrey Demian IncGroup PAC ID 4880944339, 27 clinicians

Practice addresses (Care Compare)

1928 E Highland Ave
Suite F104
Phoenix, AZ 85016-4626
Phone (833) 242-0100

4816 E Camp Lowell Dr
Tucson, AZ 85712-1276
Phone (520) 881-8640

700 S la Posada Cir
Green Valley, AZ 85614-5100
Phone (310) 750-4511

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as group
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue194
Removal of nail tissue665
Removal or shaving of skin growth339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Demian Inc Foot & Ankle Surgery CurrentSince Aug 15, 2024 Accepting new patients
Robert Chiarello Dpmpc Foot & Ankle Surgery CurrentSince May 9, 2021 Accepting new patients
Brian P Hutcheson DPM PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

700 S La Posada Cir
Green Valley, AZ 85614
Phone (310) 750-4511

4816 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 881-8640

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

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.

Hospital & facility affiliations 1

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1225527443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121276",
            "telephone_number": "520-881-8640",
            "fax_number": "520-881-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121276",
            "telephone_number": "520-881-8640",
            "fax_number": "520-881-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJAZETOVIC",
        "first_name": "ADI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-001001",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "692332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.