Active NPI
Jacob John Wolfrum, DPM
- Foot & Ankle Surgery Podiatrist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD-001046
- Practice address
- 4915 E Baseline Rd
Gilbert, AZ 85234-2965 - Phone
- (480) 812-3668
- NPI assigned
- May 18, 2018
- Last updated
- Jul 28, 2025
- 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-001046 | AZ | Primary |
Addresses
Primary practice location
4915 E Baseline Rd
Gilbert, AZ 85234-2965
Mailing address
4915 E Baseline Rd
Gilbert, AZ 85234-2965
Phone (480) 812-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149399 | 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19636 N 27TH Ave
Suite 301
Phoenix, AZ 85027-4016
Phone (602) 993-2700
4915 E Baseline Rd
Suite 121
Gilbert, AZ 85234-2969
Phone (480) 812-3668
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.37 of 100
- Quality
- 75.04
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 64 |
| Removal or shaving of skin growth | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD-001046 | AZ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Diabetes Center, LLC | Current | Accepting new patients | |
| On the Move Podiatry LLC | Primary Podiatric Medicine | Current | Accepting new patients |
| Advanced Minimally Invasive Surgical | Primary Podiatric Medicine | Current | Accepting new patients |
| Desert Foot & Ankle P C | Foot & Ankle Surgery | Current | Accepting new patients |
| Desert Foot & Ankle P C | Primary Podiatric Medicine | Current | Accepting new patients |
| Foot Ankle Specialty Centers, LLC | Primary Podiatric Medicine | Current | Accepting new patients |
| Progressive Pain Management Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Michael F Esber DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Advanced Minimally Invasive Surgical | Current | Accepting new patients | |
| I Am Wellness Az LLC | Past | Accepting new patients | |
| Gregg Krahn DPM PC | Primary Podiatric Medicine | Past | Accepting new patients |
| New Vida Medical LLC | Past | Accepting new patients | |
| Arizona Otolaryngology Consultants, PC | Past | Accepting new patients | |
| Floyd I Miller DPM PC | Primary Podiatric Medicine | Past | Accepting new patients |
Locations
1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644
1100 S Dobson Rd
Ste 120
Chandler, AZ 85286
Phone (480) 336-2085
4915 E Baseline Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 812-3668
5757 W Thunderbird Rd
Ste E159
Glendale, AZ 85306
Phone (480) 844-8218
1134 E University Dr
Ste 111
Mesa, AZ 85203
Phone (480) 398-1220
1520 S Dobson Rd
Ste 312
Mesa, AZ 85202
Phone (480) 844-8218
215 S Power Rd
Ste 102
Mesa, AZ 85206
Phone (480) 733-0500
3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933
3130 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 497-5933
15601 N 28th Ave
#102
Phoenix, AZ 85053
Phone (602) 844-8218
15601 N 28th Ave
Ste 102
Phoenix, AZ 85053
Phone (480) 844-8218
19636 N 27th Ave
Ste 301
Phoenix, AZ 85027
Phone (602) 200-9339
202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072
2228 W Northern Ave
Ste B101
Phoenix, AZ 85021
5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621
9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700
3120 Willow Creek Rd
Unit 100
Prescott, AZ 86301
Phone (480) 750-8130
6565 E Greenway Pkwy
Ste 101
Scottsdale, AZ 85254
Phone (480) 948-2056
13640 N 99th Ave
Ste 200
Sun City, AZ 85351
Phone (623) 322-5700
14418 W Meeker Blvd
#B205
Sun City West, AZ 85375
Phone (480) 802-9977
14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930
14418 W Meeker Blvd
Ste B205
Sun City West, AZ 85375
Phone (623) 546-4960
11323 W Bell Rd
Surprise, AZ 85378
Organizations & group practices 15
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 & Ankle Surgery Podiatrist
- Gilbert, AZ
- NPI 1679603724
Primary Podiatric Medicine
-
- Foot & Ankle Surgery Podiatrist
- Phoenix, AZ
- NPI 1285218750
Primary Podiatric Medicine
-
- Surgery Physician
- Phoenix, AZ
- NPI 1295056919
Primary Podiatric Medicine
-
dba Clinica Esperanza-Hope Primary Care, LLC
- Internal Medicine Physician
- Mesa, AZ
- NPI 1104865757
-
- Foot Surgery Podiatrist
- Sun City West, AZ
- NPI 1902907504
Foot & Ankle Surgery
-
- Interventional Pain Medicine Physician
- Casa Grande, AZ
- NPI 1881866754
Foot & Ankle Surgery
-
dba GB Family Care, LLC
- Family Medicine Physician
- Phoenix, AZ
- NPI 1699025981
-
dba Arizona Foot Health Center
- Podiatrist
- Sun City West, AZ
- NPI 1992486138
-
- Foot & Ankle Surgery Podiatrist
- Glendale, AZ
- NPI 1629962808
-
- Specialist
- Phoenix, AZ
- NPI 1679538441
-
- Podiatric Clinic/Center
- Chandler, AZ
- NPI 1932227139
Primary Podiatric Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arizona Specialty Hospital
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1437649084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 E BASELINE RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342965",
"telephone_number": "480-812-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 E BASELINE RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342965",
"telephone_number": "480-812-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFRUM",
"first_name": "JACOB",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-18",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "POD-001046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149399",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.