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
- Last updated
- Feb 15, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD-000969 | AZ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onesource Senior Healthcare PLLC | Single Specialty | Current | Accepting new patients |
| Direct Podiatry Arizona | Single Specialty | Current | Accepting new patients |
| Preferred Podiatry Group PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OneSource Mobile Healthcare PLLC
- Podiatrist
- Scottsdale, AZ
- NPI 1508272188
Single Specialty
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.