Individual provider Active NPI

Jacob John Wolfrum, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
National Provider Identifier
1437649084
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-001046 Issued in AZ
Practice address
4915 E Baseline Rd
Gilbert, AZ 85234-2965
Phone
(480) 812-3668
NPI assigned
May 18, 2018
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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-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

IdentifierTypeStateIssuer
149399MedicaidAZ

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
I20220720003958 AZ Practitioner - Podiatry 2668853763 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On the Move Podiatry LLCGroup PAC ID 2163817677, 2 clinicians
Foot Ankle Specialty Centers, LLCGroup PAC ID 7517058381, 7 clinicians

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 100Reported as group
Quality
75.04
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue64
Removal or shaving of skin growth13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-001046AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Diabetes Center, LLC CurrentSince Sep 1, 2023 Accepting new patients
On the Move Podiatry LLC Primary Podiatric Medicine CurrentSince Jan 22, 2026 Accepting new patients
Advanced Minimally Invasive Surgical Primary Podiatric Medicine CurrentSince Jul 1, 2022 Accepting new patients
Desert Foot & Ankle P C Foot & Ankle Surgery CurrentSince Mar 1, 2024 Accepting new patients
Desert Foot & Ankle P C Primary Podiatric Medicine CurrentSince Mar 1, 2024 Accepting new patients
Foot Ankle Specialty Centers, LLC Primary Podiatric Medicine CurrentSince Apr 24, 2025 Accepting new patients
Progressive Pain Management Inc Foot & Ankle Surgery CurrentSince Aug 1, 2023 Accepting new patients
Michael F Esber DPM PC Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Jul 1, 2022 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 PastSince Nov 3, 2024 Accepting new patients
Arizona Otolaryngology Consultants, PC PastSince Mar 16, 1998 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.

View all 15

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": "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

Verify at the official NPI Registry.