Individual provider Active NPI

David M Bates, DPM

  • Podiatrist
  • Suprise, AZ
National Provider Identifier
1336135177
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0592 Issued in AZ
Practice address
12329 W Bola Dr
#100
Suprise, AZ 85378
Phone
(623) 270-7441
Fax
(623) 270-7442
NPI assigned
Sep 27, 2005
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0592 AZ Primary

Addresses

Primary practice location

12329 W Bola Dr
#100
Suprise, AZ 85378

Mailing address

12329 W Bola Dr
#100
Suprise, AZ 85378
Phone (623) 270-7441

Other identifiers 1

IdentifierTypeStateIssuer
860371MedicaidAZ

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
I20040518001415 AZ Practitioner - Podiatry 7315938586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heelex 2 LLCGroup PAC ID 1456876408, 3 clinicians

Practice addresses (Care Compare)

12329 W Bola Dr
Surprise, AZ 85378-9019
Phone (623) 270-7441

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 skin lesions12
Removal of nail tissue289
Removal or shaving of skin growth182
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0592AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heelex 2 LLC Podiatrist CurrentSince Feb 16, 2025 Accepting new patients
David M. Bates, DPM, PLLC Podiatrist CurrentSince Jan 1, 2011 Accepting new patients
Put Your Feet First, PC Podiatrist PastSince Oct 1, 2004 Accepting new patients

Locations

15182 N 75th Ave
Ste 160
Peoria, AZ 85381
Phone (623) 243-5737

12329 W Bola Dr
Surprise, AZ 85378
Phone (623) 270-7441

12329 W Bola Dr
Ste 100
Surprise, AZ 85378
Phone (623) 270-7441

Interoperability endpoints

  • Direct secure messaging: david.bates@358.chartlogic.direct-ci.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1336135177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12329 W BOLA DR",
            "address_2": "#100",
            "city": "SUPRISE",
            "state": "AZ",
            "postal_code": "85378",
            "telephone_number": "623-270-7441",
            "fax_number": "623-270-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12329 W BOLA DR",
            "address_2": "#100",
            "city": "SUPRISE",
            "state": "AZ",
            "postal_code": "85378",
            "telephone_number": "623-270-7441",
            "fax_number": "623-270-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "860371",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suprise, AZ

Sources for this page

Verify at the official NPI Registry.