Individual provider Active NPI

Jeff Thomas

  • Foot & Ankle Surgery Podiatrist
  • Peoria, AZ
National Provider Identifier
1306118328
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
41000243A Issued in IN
Practice address
13660 N 94TH Dr Ste D1
Peoria, AZ 85381-4836
Phone
(623) 974-0522
Fax
(623) 933-5787
NPI assigned
Feb 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 41000243A IN Primary

Addresses

Primary practice location

13660 N 94TH Dr Ste D1
Peoria, AZ 85381-4836

Mailing address

13660 N 94TH Dr Ste F1
Peoria, AZ 85381-4232
Phone (623) 974-0522

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
I20130813000654 AZ Practitioner - Podiatry 1951543461 Reassigns benefits to 2 organizations
Practice locations: Peoria, AZ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13660 N 94TH Dr
Suite D 1
Peoria, AZ 85381-4836

13660 N 94TH Dr
Suite D1
Peoria, AZ 85381-4275
Phone (623) 947-0522

Hospital & facility affiliations

  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

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
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue133
Removal of skin lesions297
Removal of nail tissue756
Removal or shaving of skin growth535
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41000243AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Thomas PLLC Podiatrist CurrentSince Jun 1, 2018 Accepting new patients
Precision Healthcare Professionals Foot & Ankle Surgery Current Accepting new patients
Alliance Medical Specialists, PLLC Podiatrist CurrentSince Aug 15, 2024 Accepting new patients

Locations

13660 N 94th Dr
Ste D1
Peoria, AZ 85381
Phone (623) 230-2912

13660 N 94th Dr
Ste F1
Peoria, AZ 85381
Phone (623) 583-2901

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.

Hospital & facility affiliations 1

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": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1306118328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE F1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814232",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE D1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEFF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "41000243A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.