Active NPI
Steven M Gillespie, DPM
- Foot & Ankle Surgery Podiatrist
- Green Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0828
- Practice address
- 1055 N la Canada Dr Ste 135
Green Valley, AZ 85614-3700 - Phone
- (520) 640-7010
- Fax
- (520) 640-7011
- NPI assigned
- Jul 24, 2013
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0828 | AZ | Primary |
Addresses
Primary practice location
1055 N la Canada Dr Ste 135
Green Valley, AZ 85614-3700
Mailing address
1055 N la Canada Dr Ste 135
Green Valley, AZ 85614-3700
Phone (520) 640-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136228 | Medicaid | AZ |
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
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1055 N la Canada Dr
Suite 135
Green Valley, AZ 85614-3700
Phone (520) 640-7010
Hospital & facility affiliations
- Northwest Medical Center Sahuarita
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 218 |
| Removal of skin lesions | 12 |
| Removal of nail tissue | 1866 |
| Removal or shaving of skin growth | 793 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Arizona Podiatry LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Barton S. Fink DPM LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Oasis Dermatology PC | Past | Accepting new patients |
Locations
1055 N La Canada Dr
Ste 135
Green Valley, AZ 85614
Phone (520) 399-4570
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.
-
- Foot & Ankle Surgery Podiatrist
- Green Valley, AZ
- NPI 1104691773
-
- Dermatology Physician
- Green Valley, AZ
- NPI 1780229625
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sahuarita, AZ
- NPI 1851927669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1669814281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N LA CANADA DR STE 135",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856143700",
"telephone_number": "520-640-7010",
"fax_number": "520-640-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N LA CANADA DR STE 135",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856143700",
"telephone_number": "520-640-7010",
"fax_number": "520-640-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "STEVEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "0828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136228",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.