Individual provider Active NPI

Amy Ross

  • Podiatrist
  • Goodyear, AZ
National Provider Identifier
1699304741
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD-001085 Issued in AZ
Practice address
2970 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7831
Phone
(623) 935-5780
Fax
(623) 935-5783
NPI assigned
Apr 2, 2020
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Podiatrist 213E00000X POD-001085 AZ Primary

Addresses

Primary practice location

2970 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7831

Mailing address

4001 N 3Rd St Ste 290
Phoenix, AZ 85012-2071

Other practice location 1

4001 N 3rd St Ste 290
Phoenix, AZ 85012-2071
Phone (602) 344-5011

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
I20230728002690 AZ Practitioner - Podiatry 8527429117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Foot and Ankle P CGroup PAC ID 3678461985, 6 clinicians
PNC Podiatry of Arizona PCGroup PAC ID 5496264863, 6 clinicians

Practice addresses (Care Compare)

5757 W Thunderbird Rd
Suite E 159
Glendale, AZ 85306-4641
Phone (480) 844-8218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.65 of 100Reported as group
Quality
73.17
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue70
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-001085AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
PNC Podiatry of Arizona PC Podiatrist CurrentSince Mar 1, 2026 Accepting new patients
Desert Foot & Ankle P C CurrentSince Feb 1, 2026 Accepting new patients
Arizona Foot & Ankle Specialists, LLC Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
Desert Foot & Ankle P C Podiatrist CurrentSince Feb 1, 2026 Accepting new patients

Locations

5757 W Thunderbird Rd
Ste E159
Glendale, AZ 85306
Phone (480) 844-8218

2970 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (623) 935-5780

1520 S Dobson Rd
Ste 312
Mesa, AZ 85202
Phone (480) 844-8218

15601 N 28th Ave
#102
Phoenix, AZ 85053
Phone (602) 844-8218

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26083/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBCEAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1699304741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N 3RD ST STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 N LITCHFIELD RD STE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957831",
            "telephone_number": "623-935-5780",
            "fax_number": "623-935-5783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 N 3rd St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122071",
            "country_code": "US",
            "telephone_number": "602-344-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD-001085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.