Individual provider Active NPI

Justin Singh, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
National Provider Identifier
1386179141
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-000989 Issued in AZ
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

Updated by the provider on Nov 8, 2022

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 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

IdentifierTypeStateIssuer
098502MedicaidAZ

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
I20210804003899 AZ Practitioner - Podiatry 7416227749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

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 Hospital, Goodyear, AZ, CCN 030110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue30
Removal of nail tissue68
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-000989AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthyu Family Medicine, LLC CurrentSince Oct 17, 2022 Accepting new patients
Prescott Healthcare Solutions LLC PastSince Oct 19, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.