Individual provider Active NPI

Darick Hathaway Freestone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
National Provider Identifier
1295906212
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0708 Issued in AZ
Practice address
2680 S. Val Vista Dr. Suite 177, BLDG 14
Gilbert, AZ 85295-4234
Phone
(480) 909-3700
Fax
(877) 839-9972
NPI assigned
Mar 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002258 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 0708 AZ Primary

Addresses

Primary practice location

2680 S. Val Vista Dr. Suite 177, BLDG 14
Gilbert, AZ 85295-4234

Mailing address

2680 S. Val Vista Dr
Suite 177, BLDG 14
Gilbert, AZ 85295-4234
Phone (480) 909-3700

Other practice location 1

600 S Dobson Rd Suite E40
Chandler, AZ 85224-5693
Phone (480) 909-3700

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
I20100921001523 AZ Practitioner - Podiatry 6204952716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Foot and Ankle Centers PLLCGroup PAC ID 5991126898, 5 clinicians

Practice addresses (Care Compare)

2680 S Val Vista Dr
Suite 177
Gilbert, AZ 85295-1674
Phone (480) 909-3700

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue109
Removal of skin lesions1-10
Removal of nail tissue709
Removal or shaving of skin growth585
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002258MIMDFoot & Ankle Surgery Podiatrist
0708AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot & Ankle Care PC Foot & Ankle Surgery Current Accepting new patients
Modern Foot & Ankle Centers, PLLC Foot & Ankle Surgery CurrentSince May 1, 2020 Accepting new patients

Locations

600 S Dobson Rd
Ste E39
Chandler, AZ 85224
Phone (480) 777-5888

600 S Dobson Rd
Ste E40
Chandler, AZ 85224
Phone (480) 732-0033

2680 S Val Vista Dr
Ste 177
Gilbert, AZ 85295
Phone (480) 909-3700

Interoperability endpoints

  • Direct secure messaging: drfreestone@mfaacp-az.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEJEBA

Organizations & group practices 2

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1295906212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S. VAL VISTA DR",
            "address_2": "SUITE 177, BLDG 14",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954234",
            "telephone_number": "480-909-3700",
            "fax_number": "877-839-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S. VAL VISTA DR. SUITE 177, BLDG 14",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954234",
            "telephone_number": "480-909-3700",
            "fax_number": "877-839-9972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Dobson Rd Suite E40",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245693",
            "country_code": "US",
            "telephone_number": "480-909-3700",
            "fax_number": "877-839-9972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREESTONE",
        "first_name": "DARICK",
        "middle_name": "HATHAWAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002258",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.