Individual provider Active NPI

Larry Zonis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1255339909
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0112 Issued in AZ
Practice address
9755 N 90TH St
Ste C120
Scottsdale, AZ 85258-5046
Phone
(480) 391-9193
Fax
(480) 661-6202
NPI assigned
Jul 7, 2005
Last updated
Jan 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0112 AZ Primary

Addresses

Primary practice location

9755 N 90TH St
Ste C120
Scottsdale, AZ 85258-5046

Mailing address

9755 N 90TH St
Ste C120
Scottsdale, AZ 85258-5046
Phone (480) 391-9193

Other identifiers 1

IdentifierTypeStateIssuer
700618MedicaidAZ

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
I20100604000734 AZ Practitioner - Podiatry 0446337067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billet Podiatry IncGroup PAC ID 1456769272, 7 clinicians

Practice addresses (Care Compare)

9755 N 90TH St
Scottsdale, AZ 85258-5174
Phone (480) 391-9193

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue123
Removal of skin lesions1-10
Removal of nail tissue1111
Removal or shaving of skin growth531
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0112AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Billet Podiatry Inc Podiatrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

6710 N 47th Ave
Ste 8
Glendale, AZ 85301
Phone (623) 842-3077

9755 N 90th St
Ste A110
Scottsdale, AZ 85258
Phone (480) 391-9193

9755 N 90th St
Ste B230
Scottsdale, AZ 85258
Phone (480) 391-7246

9755 N 90th St
Ste C120
Scottsdale, AZ 85258
Phone (480) 391-7631

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1255339909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST",
            "address_2": "STE C120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585046",
            "telephone_number": "480-391-9193",
            "fax_number": "480-661-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST",
            "address_2": "STE C120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585046",
            "telephone_number": "480-391-9193",
            "fax_number": "480-661-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONIS",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700618",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.