Active NPI
Tharesh Udupa, DPM
- Foot Surgery Podiatrist
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- POD-000599
- Practice address
- 10484 W Thunderbird Blvd Ste 100
Sun City, AZ 85351-6019 - Phone
- (866) 974-2673
- Fax
- (866) 939-2673
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD-000599 | AZ | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | POD-000599 | AZ | |
| Sports Medicine Podiatrist | 213ES0000X | POD-000599 | AZ | |
| Foot Surgery Podiatrist | 213ES0131X | POD-000599 | AZ | Primary |
Addresses
Primary practice location
10484 W Thunderbird Blvd Ste 100
Sun City, AZ 85351-6019
Mailing address
18444 N 25TH Ave
Ste 310
Phoenix, AZ 85023-1261
Phone (866) 974-2673
Other practice location 1
8952 E Desert Cove Ave Ste 113
Scottsdale, AZ 85260-6776
Phone (866) 974-2673
Other practice location 2
14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375-5855
Phone (866) 974-2673
Other practice location 3
9321 W Thomas Rd Ste 205
Phoenix, AZ 85037-3392
Phone (866) 974-2673
Other practice location 4
18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 842171 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10210 N 92ND St
Suite 104
Scottsdale, AZ 85258-4531
Phone (480) 493-0900
18444 N 25TH Ave
Suite 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673
Hospital & facility affiliations
- Nurses Network by Quality Home Health Care
- Banner Boswell Medical Center
- The Core Institute Specialty Hosp
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.65 of 100
- Quality
- 76.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 46 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 171 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD-000599 | AZ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic Research and Educatoin | Current | Accepting new patients | |
| Center for Orthopedic Research and Education, LLC | Podiatrist | Current | Accepting new patients |
| Innovative Wound Solutions, LLC | Current | Accepting new patients | |
| Center for Orthopedic Research and Education LLC | Current | Accepting new patients | |
| Greater Boston Podiatry Associates, PC | Sports Medicine | Past | Accepting new patients |
Locations
3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3788
2680 S Val Vista Dr
Ste 146
Gilbert, AZ 85295
Phone (480) 454-7680
1500 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (866) 974-2676
18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706
18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738
9305 W Thomas Rd
Ste 485
Phoenix, AZ 85037
Phone (602) 457-9915
18444 N 25th Ave
Ste 220
Phoenix, AZ 85023
Phone (669) 742-6738
9321 W Thomas Rd
Ste 205
Phoenix, AZ 85037
8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772
10210 N 92nd St
Ste 104
Scottsdale, AZ 85258
Phone (480) 493-0900
10494 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311
10494 W Thunderbird Blvd
Ste 108
Sun City, AZ 85351
Phone (623) 474-3672
10503 W Thunderbird Blvd
Ste 262
Sun City, AZ 85351
Phone (623) 832-5589
10484 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (669) 742-6738
13995 W Statler Blvd
Ste 165
Surprise, AZ 85374
Phone (623) 537-5661
Interoperability endpoints
- tharesh.udupa.1@31166.direct.athenahealth.com
- https://api.platform.athenahealth.com/9764/brand/1/csg/1/fhir/r4
- tharesh.udupa.1@22724.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
Podiatrist
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1649038910
-
- Durable Medical Equipment & Medical Supplies
- Flagstaff, AZ
- NPI 1063251056
-
- Physical Therapist
- Mesa, AZ
- NPI 1275967408
-
- Sports Medicine Podiatrist
- Norwell, MA
- NPI 1871629162
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
-
- Home Health Agency
- Prescott Valley, AZ
- NPI 1215990486
-
- Special Hospital
- Phoenix, AZ
- NPI 1902881295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1275537607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE",
"address_2": "STE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231261",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10484 W THUNDERBIRD BLVD STE 100",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853516019",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [
{
"address_1": "8952 E Desert Cove Ave Ste 113",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606776",
"country_code": "US",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14520 W Granite Valley Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Sun City West",
"state": "AZ",
"postal_code": "853755855",
"country_code": "US",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9321 W Thomas Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850373392",
"country_code": "US",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18444 N 25th Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850231264",
"country_code": "US",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UDUPA",
"first_name": "THARESH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "POD-000599",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "AZ",
"license": "POD-000599",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "AZ",
"license": "POD-000599",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "AZ",
"license": "POD-000599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "842171",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.