NPIMap

Organization Active NPI

Desert Foot & Ankle P C

  • Podiatrist
  • Mesa, AZ
National Provider Identifier
1639398183
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DESERT FOOT & ANKLE P C
Practice address
1520 S Dobson Rd Suite 312
Mesa, AZ 85202-4700
Phone
(480) 844-8218
Fax
(480) 844-9950
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Alexander Reyzelman, DPM
Title
Rcmo
Phone
(415) 292-0638

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1520 S Dobson Rd Suite 312
Mesa, AZ 85202-4700

Mailing address

PO Box 32611
Belfast, ME 04915-0219
Phone (480) 844-8218

Other practice location 1

15601 N 28th Ave Suite 102
Phoenix, AZ 85053-4061
Phone (480) 844-8218

Other practice location 2

13430 N Saguaro Blvd Suite 100&101
Fountain Hills, AZ 85268-3728
Phone (480) 844-8218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309000060 AZ Part B Supplier - Clinic/Group Practice 3678461985 Receives reassigned benefits from 8 practitioners
Practice locations: Fountain Hills, AZ; Glendale, AZ; Mesa, AZ
O20100930076854 AZ DME Supplier - Physician - Podiatry 3678461985 Practice locations: Mesa, 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

Other organizations with this tax ID 3

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

Locations

16838 E Palisades Blvd
Ste A105
Fountain Hills, AZ 85268
Phone (480) 291-6790

13430 N Saguaro Blvd
Ste 101
Fountain Hills, AZ 85268

5757 W Thunderbird Rd
Ste E
Glendale, AZ 85306

1520 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-4839

1520 S Dobson Rd
Ste 307
Mesa, AZ 85202
Phone (480) 844-8218

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

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1639398183",
    "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": "480-844-8218",
            "fax_number": "480-844-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD SUITE 312",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024700",
            "telephone_number": "480-844-8218",
            "fax_number": "480-844-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15601 N 28th Ave Suite 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850534061",
            "country_code": "US",
            "telephone_number": "480-844-8218",
            "fax_number": "480-844-9950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13430 N Saguaro Blvd Suite 100&101",
            "address_purpose": "LOCATION",
            "city": "Fountain Hills",
            "state": "AZ",
            "postal_code": "852683728",
            "country_code": "US",
            "telephone_number": "480-844-8218",
            "fax_number": "480-844-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT FOOT & ANKLE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "RCMO",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.