Individual provider Active NPI

Donald Siegel, DPM

  • Podiatrist
  • Mesa, AZ
National Provider Identifier
1669442448
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0455 Issued in AZ
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

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080305000673 AZ Practitioner - Podiatry 5395754774 Reassigns benefits to 2 organizations

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
Desert Mobile Foot Care LLCGroup PAC ID 3870080310, 5 clinicians

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 100Reported as group
Quality
95.72
Improvement activities
40
Cost
55.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue594
Removal or shaving of skin growth96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0455AZMDOccupational Therapist
1375MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MH 7 LLC CurrentSince Jun 10, 2023 Accepting new patients
Desert Mobile Foot Care LLC Podiatrist CurrentSince Aug 18, 2025 Accepting new patients

Locations

2942 N 24th St
Ste 114
Phoenix, AZ 85016
Phone (509) 381-6035

Interoperability endpoints

  • Direct secure messaging: donald.siegel@358.chartlogic.direct-ci.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.