Organization Active NPI

Phoenician Foot & Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1265809867
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0795 Issued in AZ
Legal business name
PHOENICIAN FOOT & ANKLE SPECIALISTS LLC
Practice address
11000 N Scottsdale Rd Ste 270
Scottsdale, AZ 85254-5270
Phone
(480) 253-9996
Fax
(844) 733-9353
NPI assigned
Aug 31, 2015
Last updated
Sep 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Dr. Nima Sana, DPMNPI 1679863427
Title
Podiatrist
Phone
(602) 363-3846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0795 AZ Primary

Addresses

Primary practice location

11000 N Scottsdale Rd Ste 270
Scottsdale, AZ 85254-5270

Mailing address

11000 N Scottsdale Rd Ste 270
Scottsdale, AZ 85254-5270
Phone (480) 253-9996

Other identifiers 1

IdentifierTypeStateIssuer
155329MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150918001225 AZ Part B Supplier - Clinic/Group Practice 8820305105 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ
O20170508001601 AZ DME Supplier - Physician - Podiatry 8820305105 Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

11000 N Scottsdale Rd
Ste 270
Scottsdale, AZ 85254
Phone (480) 253-9996

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1265809867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 270",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545270",
            "telephone_number": "480-253-9996",
            "fax_number": "844-733-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 270",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545270",
            "telephone_number": "480-253-9996",
            "fax_number": "844-733-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN FOOT & ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "SANA",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "602-363-3846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155329",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.