Craig Kenyon Udall, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0859 Issued in AZ

Practice address

14539 W Indian School Rd Ste 880
Goodyear, AZ 85395-9279

Phone

(623) 248-4734

Fax

(623) 259-7006

NPI assigned

May 2, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Podiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: craigudall@rp-az.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Foot Envy, LLC

  dba Foot Envy

  • Foot & Ankle Surgery Podiatrist
  • Goodyear, AZ
  • NPI 1386384790
  Medicare reassignment NPD Authorized official
• Vein Envy LLC

  • Vascular Surgery Physician
  • Litchfield Park, AZ
  • NPI 1225528565
  NPD
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1740459700
  NPD (past)

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1396180477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14539 W INDIAN SCHOOL RD STE 880",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959279",
            "telephone_number": "623-248-4734",
            "fax_number": "623-259-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14539 W INDIAN SCHOOL RD STE 880",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959279",
            "telephone_number": "623-248-4734",
            "fax_number": "623-259-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDALL",
        "first_name": "CRAIG",
        "middle_name": "KENYON",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0859",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "8154560001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z274188",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270291",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Navtej S. Tung, M.D.
• Prineet K Tung, MD
• Sherri Lynn Turner, RDH
• Twin Hearts LLC
• Twins Physical Therapy PLLC
• Melissa Louise Udall, RD
• Lemuel Dale Uhrig
• Jamie Ulibarri, RN
• Uncharted Healthcare PLLC
• Under Angel Wings Care Home L.L.C

• Foot & Ankle Surgery Podiatrist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.

Verify at the official NPI Registry.