NPIMap

Organization Active NPI

Desert Foot & Ankle P C

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
National Provider Identifier
1629962808
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DESERT FOOT & ANKLE P C
Practice address
5757 W Thunderbird Rd Ste E-159
Glendale, AZ 85306-4641
Phone
(480) 844-8218
Fax
(480) 844-9950
NPI assigned
Jun 4, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DESERT FOOT & ANKLE P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Alexander ReyzelmanNPI 1023192721
Title
Cmo
Phone
(415) 292-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

5757 W Thunderbird Rd Ste E-159
Glendale, AZ 85306-4641

Mailing address

PO Box 32611
Belfast, ME 04915-0219
Phone (415) 645-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811000948 AZ DME Supplier - Physician - Podiatry 3678461985 Practice locations: Glendale, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Desert Foot and Ankle PC4 organizations share this tax ID, including this one
Part of
Desert Foot and Ankle PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13430 N Saguaro Blvd
Ste 100
Fountain Hills, AZ 85268
Phone (480) 445-9199

5757 W Thunderbird Rd
Ste E159
Glendale, AZ 85306
Phone (480) 844-8218

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1629962808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32611",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150219",
            "telephone_number": "415-645-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD STE E-159",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064641",
            "telephone_number": "480-844-8218",
            "fax_number": "480-844-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FOOT & ANKLE P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT FOOT & ANKLE P C",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "415-292-0638"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.