Active NPI
Donald Siegel, DPM
- Podiatrist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0455
- Practice address
- 2919 S Ellsworth Rd Ste 124
Mesa, AZ 85212-2167 - Phone
- (480) 633-7944
- Fax
- (480) 633-0255
- NPI assigned
- Jan 25, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0455 | AZ | Primary |
Addresses
Primary practice location
2919 S Ellsworth Rd Ste 124
Mesa, AZ 85212-2167
Mailing address
PO Box 9058
Mesa, AZ 85214-9058
Phone (480) 633-7944
Other practice location 1
11851 N 51st Ave # 120
Glendale, AZ 85304-2809
Phone (480) 378-3388
Other practice location 2
10238 E Hampton Ave Ste 107
Mesa, AZ 85209-3317
Phone (480) 378-3395
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
- New York College of Podiatric Medicine, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
El Mirage, AZ 85335
Phone (714) 290-8347
2942 N 24TH St
Suite 114
Phoenix, AZ 85016-7849
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.36 of 100
- Quality
- 95.72
- Improvement activities
- 40
- Cost
- 55.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 594 |
| Removal or shaving of skin growth | 96 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0455 | AZ | MD | Occupational Therapist |
| 1375 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MH 7 LLC | Current | Accepting new patients | |
| Desert Mobile Foot Care LLC | Podiatrist | Current | Accepting new patients |
Locations
2942 N 24th St
Ste 114
Phoenix, AZ 85016
Phone (509) 381-6035
Interoperability endpoints
- donald.siegel@358.chartlogic.direct-ci.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Phoenix, AZ
- NPI 1316738214
-
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1710255088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1669442448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9058",
"city": "MESA",
"state": "AZ",
"postal_code": "852149058",
"telephone_number": "480-633-7944",
"fax_number": "480-633-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 S ELLSWORTH RD STE 124",
"city": "MESA",
"state": "AZ",
"postal_code": "852122167",
"telephone_number": "480-633-7944",
"fax_number": "480-633-0255"
}
],
"practiceLocations": [
{
"address_1": "11851 N 51st Ave # 120",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853042809",
"country_code": "US",
"telephone_number": "480-378-3388",
"fax_number": "602-429-8432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10238 E Hampton Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852093317",
"country_code": "US",
"telephone_number": "480-378-3395",
"fax_number": "602-429-8525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIEGEL",
"first_name": "DONALD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "0455",
"primary": true
}
],
"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 Feb 20, 2020; 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.