Active NPI
Sondema Nkipmo Tarr, DPM
- Podiatrist
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD-000969
- Practice address
- 4685 S Ash Ave # Siteh1
Tempe, AZ 85282-6857 - Phone
- (602) 638-2718
- NPI assigned
- Apr 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD-000969 | AZ | Primary |
Addresses
Primary practice location
4685 S Ash Ave # Siteh1
Tempe, AZ 85282-6857
Mailing address
PO Box 772294
Detroit, MI 48277-2294
Phone (847) 504-5000
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
- Kent State University College of Podiatric Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16427 N Scottsdale Rd
Suite 410
Scottsdale, AZ 85254-7102
Phone (888) 495-4489
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1780 |
| Removal or shaving of skin growth | 174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onesource Senior Healthcare PLLC | Single Specialty | Current | Accepting new patients |
| Preferred Podiatry Group PC | Single Specialty | Current | Accepting new patients |
| Direct Podiatry Arizona | Single Specialty | Current | Accepting new patients |
Locations
16427 N Scottsdale Rd
Ste 410
Scottsdale, AZ 85254
Phone (480) 418-1932
4685 S Ash Ave
#1
Tempe, AZ 85282
Phone (602) 638-2718
1650 N Santa Rosa Ave
Tucson, AZ 85712
Phone (520) 795-1610
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1295260180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772294",
"city": "DETROIT",
"state": "MI",
"postal_code": "482772294",
"telephone_number": "847-504-5000",
"fax_number": "844-554-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4685 S ASH AVE # SITEH1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826857",
"telephone_number": "602-638-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARR",
"first_name": "SONDEMA",
"middle_name": "NKIPMO",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "AZ",
"license": "POD-000969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.