Individual provider Active NPI

Patrick Gillihan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
National Provider Identifier
1255715579
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-000904 Issued in AZ
Practice address
1831 E Queen Creek Rd
Chandler, AZ 85286-2019
Phone
(480) 216-4395
Fax
(480) 917-5400
NPI assigned
Jul 16, 2015
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 000904 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X POD-000904 AZ Primary

Addresses

Primary practice location

1831 E Queen Creek Rd
Chandler, AZ 85286-2019

Mailing address

1831 E Queen Creek Rd
Chandler, AZ 85286-2019
Phone (480) 216-4395

Other identifiers 1

IdentifierTypeStateIssuer
413038MedicaidAZ

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
I20180820002469 AZ Practitioner - Podiatry 5698024974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Clinics of ArizonaGroup PAC ID 7113182940, 12 clinicians

Practice addresses (Care Compare)

3540 E Baseline Rd
Suite 120
Phoenix, AZ 85042-9628
Phone (480) 917-2300

Merit-based Incentive Payment System (MIPS)

Final score
46.39 of 100Reported as group
Quality
9.27
Promoting interoperability
93
Improvement activities
0
Cost
59.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions1-10
Removal of nail tissue221
Removal or shaving of skin growth206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000904AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Interventional Care Centers, PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2022 Accepting new patients
Foot and Ankle Clinics of Arizona Podiatrist CurrentSince Jan 13, 2025 Accepting new patients
Comprehensive Interventional Care Centers, PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2022 Accepting new patients
Sonoran Vein and Endovascular LLC Past Accepting new patients
Grand Canyon Anesthesia LLC Past Accepting new patients

Locations

421 E Cottonwood Ln
Casa Grande, AZ 85122

1831 E Queen Creek Rd
Ste 119
Chandler, AZ 85286

1831 E Queen Creek Rd
Chandler, AZ 85286
Phone (480) 216-4395

1831 E Queen Creek Rd
#119
Chandler, AZ 85286

2301 N 4th St
Flagstaff, AZ 86004
Phone (928) 719-7400

838 W Elliot Rd
Ste 101
Gilbert, AZ 85233

1501 N Gilbert Rd
Ste 207
Gilbert, AZ 85234
Phone (480) 389-1061

838 W Elliot Rd
#101
Gilbert, AZ 85233

7205 S 51st Ave
Ste 103
Laveen, AZ 85339

21300 N John Wayne Pkwy
Ste 116
Maricopa, AZ 85139
Phone (520) 423-9699

4566 E Inverness Ave
Ste 108
Mesa, AZ 85206
Phone (480) 659-4811

2942 N 7th Ave
Ste 102
Phoenix, AZ 85013
Phone (602) 942-0600

10214 N Tatum Blvd
Ste B300
Phoenix, AZ 85028
Phone (480) 469-6866

3540 E Baseline Rd
Ste 120
Phoenix, AZ 85042
Phone (602) 777-7970

21321 E Ocotillo Rd
Ste 103
Queen Creek, AZ 85142
Phone (480) 275-2007

14642 N Del Webb Blvd
Ste 200
Sun City, AZ 85351
Phone (480) 347-0844

6301 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 775-8460

1492 S Mill Ave
Ste 314
Tempe, AZ 85281
Phone (480) 736-1777

2145 W 28th St
Ste Ab
Yuma, AZ 85364

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72450

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, 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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1255715579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 E QUEEN CREEK RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862019",
            "telephone_number": "480-216-4395",
            "fax_number": "480-917-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E QUEEN CREEK RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862019",
            "telephone_number": "480-216-4395",
            "fax_number": "480-917-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIHAN",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "000904",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-000904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413038",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.