Active NPI
Justin Singh, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD-000989
- Practice address
- 840 E McKellips Rd Ste 105
Mesa, AZ 85203-9654 - Phone
- (602) 491-0703
- Fax
- (480) 631-0581
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD-000989 | AZ | Primary |
Addresses
Primary practice location
840 E McKellips Rd Ste 105
Mesa, AZ 85203-9654
Mailing address
840 E McKellips Rd Ste 105
Mesa, AZ 85203-9654
Phone (602) 491-0703
Other practice location 1
15255 N 40th St Ste 105
Phoenix, AZ 85032-4636
Phone (602) 491-0703
Other practice location 2
13026 W Rancho Santa Fe Blvd Ste C100
Avondale, AZ 85392-1710
Phone (602) 491-0703
Other practice location 3
16841 N 31st Ave Ste 130
Phoenix, AZ 85053-3051
Phone (602) 491-0703
Other practice location 4
12100 N Dysart Rd Ste 105
Surprise, AZ 85379-3308
Phone (602) 491-0703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098502 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12100 N Dysart Rd
Surprise, AZ 85379-3308
Phone (602) 491-0703
13026 W Rancho Santa Fe Blvd
Suite C100
Avondale, AZ 85392-1710
Phone (602) 491-0703
3200 N Dobson Rd
Suite B 1
Chandler, AZ 85224-9608
Phone (602) 491-0703
5112 W Olive Ave
C113
Glendale, AZ 85302-4209
Phone (602) 491-0703
9139 W Thunderbird Rd
Suite 265
Peoria, AZ 85381-4922
Phone (602) 491-0703
Hospital & facility affiliations
- Abrazo West Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 30 |
| Removal of nail tissue | 68 |
| Removal or shaving of skin growth | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD-000989 | AZ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthyu Family Medicine, LLC | Current | Accepting new patients | |
| Prescott Healthcare Solutions LLC | Past | Accepting new patients |
Locations
13026 W Rancho Santa Fe Blvd
Ste C100
Avondale, AZ 85392
Phone (480) 239-9786
3200 N Dobson Rd
Ste B-1
Chandler, AZ 85224
Phone (602) 491-0701
1760 E Pecos Rd
Ste 215
Gilbert, AZ 85295
Phone (480) 448-2411
3530 S Val Vista Dr
Ste C101
Gilbert, AZ 85297
Phone (480) 840-9155
2353 E Baseline Rd
Gilbert, AZ 85234
5112 W Olive Ave
Ste C113
Glendale, AZ 85302
Phone (623) 934-9267
5112 W Olive Ave
#C113
Glendale, AZ 85302
Phone (602) 941-0703
840 E McKellips Rd
Ste 105
Mesa, AZ 85203
Phone (602) 491-0701
840 E McKellips Rd
Ste 107
Mesa, AZ 85203
Phone (602) 491-0701
9139 W Thunderbird Rd
Ste 265
Peoria, AZ 85381
Phone (602) 777-7011
15255 N 40th St
Ste 105
Phoenix, AZ 85032
Phone (602) 867-2690
16841 N 31st Ave
Ste 130
Phoenix, AZ 85053
1835 W Missouri Ave
Phoenix, AZ 85015
Phone (602) 230-0777
7910 W Thomas Rd
Ste 112
Phoenix, AZ 85033
Phone (623) 414-4325
1728 W Glendale Ave
Ste 301
Phoenix, AZ 85021
Phone (602) 249-1972
12100 N Dysart Rd
Ste 105
Surprise, AZ 85379
Interoperability endpoints
- https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
- justin.singh.1@24378.direct.athenahealth.com
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.
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1669149787
-
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1386179141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 E MCKELLIPS RD STE 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852039654",
"telephone_number": "602-491-0703",
"fax_number": "480-631-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 E MCKELLIPS RD STE 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852039654",
"telephone_number": "602-491-0703",
"fax_number": "480-631-0581"
}
],
"practiceLocations": [
{
"address_1": "15255 N 40th St Ste 105",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850324636",
"country_code": "US",
"telephone_number": "602-491-0703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13026 W Rancho Santa Fe Blvd Ste C100",
"address_purpose": "LOCATION",
"city": "Avondale",
"state": "AZ",
"postal_code": "853921710",
"country_code": "US",
"telephone_number": "602-491-0703",
"fax_number": "833-365-2143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16841 N 31st Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850533051",
"country_code": "US",
"telephone_number": "602-491-0703",
"fax_number": "833-431-2257",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12100 N Dysart Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853793308",
"country_code": "US",
"telephone_number": "602-491-0703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGH",
"first_name": "JUSTIN",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "POD-000989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098502",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.