Organization Active NPI

Acacia Foot and Ankle Surgeons, PLLC

Doing business as Acacia Foot and Ankle Surgeons

  • Foot & Ankle Surgery Podiatrist
  • Peoria, AZ
National Provider Identifier
1689108649
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0793 Issued in AZ
Legal business name
ACACIA FOOT AND ANKLE SURGEONS, PLLC
Doing business as
Acacia Foot and Ankle Surgeons
Practice address
9179 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4912
Phone
(623) 439-2200
NPI assigned
Apr 17, 2017
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Kaveh Panahi, DPMNPI 1003233834
Title
Owner
Phone
(623) 439-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0793 AZ Primary

Addresses

Primary practice location

9179 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4912

Mailing address

9179 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4912
Phone (623) 439-2200

Other names 1

  • Acacia Foot and Ankle Surgeons Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190604000972 AZ Part B Supplier - Clinic/Group Practice 8123351384 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ
O20220407000393 AZ DME Supplier - Physician - Podiatry 8123351384 Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1689108649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814912",
            "telephone_number": "623-439-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814912",
            "telephone_number": "623-439-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA FOOT AND ANKLE SURGEONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "PANAHI",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-439-2200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acacia Foot and Ankle Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.