Individual provider Active NPI

Derek John Hunchak, D.P.M.

  • Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1336453091
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0730 Issued in AZ
Practice address
33777 N Scottsdale Rd
Ste 101
Scottsdale, AZ 85266-1569
Phone
(480) 252-2279
Fax
(602) 513-7309
NPI assigned
Aug 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0730 AZ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 0730 AZ

Addresses

Primary practice location

33777 N Scottsdale Rd
Ste 101
Scottsdale, AZ 85266-1569

Mailing address

33777 N Scottsdale Rd
Ste 101
Scottsdale, AZ 85266-1569
Phone (480) 252-2279

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
I20110920000243 AZ Practitioner - Podiatry 1850562034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunchak Holdings PLLCGroup PAC ID 7618148891, 4 clinicians

Practice addresses (Care Compare)

33777 N Scottsdale Rd
Suite 101
Scottsdale, AZ 85266-1569
Phone (480) 252-2279

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0730AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Hunchak Holdings PLLC Foot & Ankle Surgery CurrentSince Aug 17, 2011 Accepting new patients

Locations

33777 N Scottsdale Rd
#1
Scottsdale, AZ 85266

33777 N Scottsdale Rd
Ste 101
Scottsdale, AZ 85266
Phone (480) 252-2279

Organizations & group practices 1

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1336453091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33777 N SCOTTSDALE RD",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661569",
            "telephone_number": "480-252-2279",
            "fax_number": "602-513-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33777 N SCOTTSDALE RD",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661569",
            "telephone_number": "480-252-2279",
            "fax_number": "602-513-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNCHAK",
        "first_name": "DEREK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0730",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.