Individual provider Active NPI

Zachary Anthony Flynn, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
National Provider Identifier
1669812855
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0827 Issued in AZ
Practice address
11209 N Tatum Blvd Ste 100
Phoenix, AZ 85028-3000
Phone
(602) 973-3888
Fax
(602) 973-3028
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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 0827 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 100
Phoenix, AZ 85028-3000

Mailing address

11209 N Tatum Blvd Ste 100
Phoenix, AZ 85028-3000
Phone (602) 973-3888

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
I20170518001192 AZ Practitioner - Podiatry 7113212333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Foot Health PCGroup PAC ID 1254316540, 2 clinicians
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite B100
Phoenix, AZ 85028-3091
Phone (602) 973-3888

7400 N Dobson Rd
Suite 201
Scottsdale, AZ 85256-2736
Phone (408) 733-7400

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue142
Removal of skin lesions1-10
Removal of nail tissue166
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Foot Health, P.C. Podiatrist CurrentSince Nov 1, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

11209 N Tatum Blvd
Ste B100
Phoenix, AZ 85028
Phone (602) 973-3888

11209 N Tatum Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 973-3888

11209 N Tatum Blvd
Phoenix, AZ 85028
Phone (480) 285-2180

Interoperability endpoints

  • Direct secure messaging: zachary.flynn@358.chartlogic.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/18608/brand/1/csg/1/fhir/r4
  • Direct secure messaging: zachary.flynn.1@18608.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1669812855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283000",
            "telephone_number": "602-973-3888",
            "fax_number": "602-973-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283000",
            "telephone_number": "602-973-3888",
            "fax_number": "602-973-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ZACHARY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.