Individual provider Active NPI

Amram Dahukey, DPM

  • Podiatrist
  • Tucson, AZ
National Provider Identifier
1366592867
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0189 Issued in AZ
Practice address
5300 E Erickson Dr Ste 118
Tucson, AZ 85712-2809
Phone
(520) 326-6766
Fax
(520) 323-6660
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0189 AZ Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 0189 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X 0189 AZ
Foot Surgery Podiatrist 213ES0131X 0189 AZ

Addresses

Primary practice location

5300 E Erickson Dr Ste 118
Tucson, AZ 85712-2809

Mailing address

5300 E Erickson Dr
Tucson, AZ 85712-2828
Phone (520) 326-6766

Other identifiers 2

IdentifierTypeStateIssuer
480009265OtherAZRAILROAD MEDICARE
700288MedicaidAZ

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
I20050928000760 AZ Practitioner - Podiatry 2466487434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academy Foot and Ankle Clinics LTDGroup PAC ID 7517086325, 2 clinicians

Practice addresses (Care Compare)

1702 W Anklam Rd
Suite 112
Tucson, AZ 85745-2606

5300 E Erickson Dr
Suite 118
Tucson, AZ 85712-2809

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue26
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Foot and Ankle Clinics LTD Foot & Ankle Surgery CurrentSince Dec 20, 2003 Accepting new patients
T & L Foot & Ankle Surgeons Foot & Ankle Surgery PastSince Dec 1, 2010 Accepting new patients

Locations

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

1702 W Anklam Rd
Ste 112
Tucson, AZ 85745
Phone (520) 326-6766

5300 E Erickson Dr
Ste 118
Tucson, AZ 85712
Phone (520) 326-6766

7590 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 326-6766

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1366592867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122828",
            "telephone_number": "520-326-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 E ERICKSON DR STE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122809",
            "telephone_number": "520-326-6766",
            "fax_number": "520-323-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHUKEY",
        "first_name": "AMRAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0189",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AZ",
            "license": "0189",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0189",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "0189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480009265",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700288",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.