Individual provider Active NPI

Tharesh Udupa, DPM

  • Foot Surgery Podiatrist
  • Sun City, AZ
National Provider Identifier
1275537607
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
POD-000599 Issued in AZ
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

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
842171MedicaidAZ

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
I20040427001400 AZ Practitioner - Podiatry 1951398460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Wound Solutions LLCGroup PAC ID 3072954759, 23 clinicians
Center for Orthopedic Research and Education LLCGroup PAC ID 0345287322, 247 clinicians

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 Home health agency, Prescott Valley, AZ, CCN 037154
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061
  • The Core Institute Specialty Hosp Hospital, Phoenix, AZ, CCN 030108

Merit-based Incentive Payment System (MIPS)

Final score
85.65 of 100Reported as group
Quality
76.23
Promoting interoperability
100
Improvement activities
40
Cost
75.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of skin lesions14
Removal of nail tissue171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-000599AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Educatoin CurrentSince Apr 1, 2016 Accepting new patients
Center for Orthopedic Research and Education, LLC Podiatrist CurrentSince Apr 1, 2024 Accepting new patients
Innovative Wound Solutions, LLC CurrentSince Apr 1, 2024 Accepting new patients
Center for Orthopedic Research and Education LLC CurrentSince Apr 1, 2016 Accepting new patients
Greater Boston Podiatry Associates, PC Sports Medicine PastSince Mar 1, 1992 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

  • Direct secure messaging: tharesh.udupa.1@31166.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9764/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.