NPIMap

Organization Active NPI

Kelvin S Crezee DPM PC

Doing business as Ahwatukee Ankle Foot and Leg Center

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
National Provider Identifier
1689793895
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0328 Issued in AZ
Legal business name
KELVIN S CREZEE DPM PC
Doing business as
Ahwatukee Ankle Foot and Leg Center
Maricopa Foot & Ankle Center
Practice address
15810 S 45TH St Ste 190
Phoenix, AZ 85048-7697
Phone
(480) 893-1090
Fax
(480) 598-1458
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Kelvin S Crezee, DPMNPI 1447242888
Title
Owner
Phone
(602) 463-6036

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0328 AZ Primary

Addresses

Primary practice location

15810 S 45TH St Ste 190
Phoenix, AZ 85048-7697

Mailing address

15810 S 45TH St Ste 190
Phoenix, AZ 85048-7697
Phone (480) 378-0485

Other practice location 1

21300 N John Wayne Pkwy Ste 126
Maricopa, AZ 85139-8978
Phone (520) 800-6662

Other names 2

  • AHWATUKEE ANKLE FOOT AND LEG CENTER Doing business as
  • Maricopa Foot & Ankle Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040511000235 AZ Part B Supplier - Clinic/Group Practice 3577552967 Receives reassigned benefits from 4 practitioners
Practice locations: Maricopa, AZ; Phoenix, AZ
O20100930083158 AZ DME Supplier - Physician - Podiatry 3577552967 Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

15810 S 45th St
Ste 190
Phoenix, AZ 85048
Phone (480) 239-4799

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1689793895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15810 S 45TH ST STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487697",
            "telephone_number": "480-378-0485",
            "fax_number": "480-598-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15810 S 45TH ST STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487697",
            "telephone_number": "480-893-1090",
            "fax_number": "480-598-1458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21300 N John Wayne Pkwy Ste 126",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851398978",
            "country_code": "US",
            "telephone_number": "520-800-6662",
            "fax_number": "520-568-9017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELVIN S CREZEE DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "CREZEE",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-463-6036",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHWATUKEE ANKLE FOOT AND LEG CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHWATUKEE ANKLE FOOT AND LEG CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maricopa Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.