Individual provider Active NPI

Jason A Kayce, DPM

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
National Provider Identifier
1609163542
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0790 Issued in AZ
Practice address
4611 E Shea Blvd
Suite 160
Phoenix, AZ 85028-4254
Phone
(480) 705-9920
Fax
(888) 872-0466
NPI assigned
Jun 29, 2011
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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 0790 AZ Primary

Addresses

Primary practice location

4611 E Shea Blvd
Suite 160
Phoenix, AZ 85028-4254

Mailing address

4611 E Shea Blvd Ste 160
Phoenix, AZ 85028-4257
Phone (480) 705-9920

Other identifiers 1

IdentifierTypeStateIssuer
944337MedicaidAZ

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
I20141009002287 AZ Practitioner - Podiatry 5991925133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Mid West Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paradise Valley Foot and Ankle PLLCGroup PAC ID 2163674011, 4 clinicians

Practice addresses (Care Compare)

4611 E Shea Blvd
Suite 160
Phoenix, AZ 85028-4257
Phone (480) 705-9920

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue50
Removal of skin lesions1-10
Removal of nail tissue175
Removal or shaving of skin growth55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0790AZMDAthletic Trainer

Interoperability endpoints

  • Direct secure messaging: jason.kayce.1@13503.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1609163542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284257",
            "telephone_number": "480-705-9920",
            "fax_number": "888-872-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "480-705-9920",
            "fax_number": "888-872-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYCE",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944337",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.