Individual provider Active NPI

Joseph Michael Krupa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Prescott, AZ
National Provider Identifier
1245736644
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-001129 Issued in AZ
Practice address
412 Whipple St
Prescott, AZ 86301-1712
Phone
(480) 788-5621
Fax
(480) 779-1277
NPI assigned
Apr 4, 2018
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 PENDING NY
Foot & Ankle Surgery Podiatrist 213ES0103X POD-001129 AZ Primary

Addresses

Primary practice location

412 Whipple St
Prescott, AZ 86301-1712

Mailing address

4487 3Rd Ave FL 1
Bronx, NY 10457-1526

Other practice location 1

4487 3rd Ave Fl 1
Bronx, NY 10457-1526
Phone (718) 960-3796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220816001925 NM Practitioner - Podiatry 5193108678 Reassigns benefits to 1 organization
I20241218001345 AZ Practitioner - Podiatry 5193108678 Reassigns benefits to 10 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
I Am Wellness Az LLCGroup PAC ID 8123497344, 35 clinicians
Progressive Pain Management IncGroup PAC ID 1153490727, 32 clinicians

Practice addresses (Care Compare)

1616 E Indian School Rd
Suite 135
Phoenix, AZ 85016-8610
Phone (480) 900-9355

1653 E McMurray Blvd
Suite 144
Casa Grande, AZ 85122-5934
Phone (520) 836-8644

5060 N 19TH Ave
Suite 207
Phoenix, AZ 85015-3212
Phone (480) 488-5621

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue30
Removal of skin lesions22
Removal of nail tissue246
Removal or shaving of skin growth77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-001129AZMDFoot & Ankle Surgery Podiatrist
PENDINGNYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince Jun 28, 2022 Accepting new patients
Hope Diabetes Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
Artesia General Hospital CurrentSince Jun 28, 2022 Accepting new patients
I Am Wellness Az LLC CurrentSince Apr 1, 2025 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Mar 14, 2025 Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince Mar 1, 2025 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Mar 14, 2025 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Mar 14, 2025 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Mar 14, 2025 Accepting new patients
Progressive Pain Management Inc Foot & Ankle Surgery CurrentSince Dec 11, 2024 Accepting new patients
Michael F Esber DPM PC Foot & Ankle Surgery CurrentSince Dec 11, 2024 Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince Mar 1, 2025 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Casa Grande ASC, LLC Past Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

604 W Warner Rd
Ste E201
Chandler, AZ 85225
Phone (480) 963-7900

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

1134 E University Dr
Ste 111
Mesa, AZ 85203
Phone (480) 398-1220

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

14804 N Cave Creek Rd
#200
Phoenix, AZ 85032
Phone (480) 240-5613

1616 E Indian School Rd
Ste 135
Phoenix, AZ 85016
Phone (480) 900-9355

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

412 Whipple St
Prescott, AZ 86301
Phone (480) 630-8103

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

11323 W Bell Rd
Surprise, AZ 85378

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

612 N 13th St
Ste J
Artesia, NM 88210
Phone (505) 746-3119

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

Organizations & group practices 18

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.

View all 18

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1245736644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4487 3RD AVE FL 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 WHIPPLE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011712",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4487 3rd Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104571526",
            "country_code": "US",
            "telephone_number": "718-960-3796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUPA",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-001129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.