Individual provider Active NPI

John T Harlan, DPM

  • Podiatrist
  • Phoenix, AZ
National Provider Identifier
1730175134
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0448 Issued in AZ
Practice address
1701 E Thomas Rd
Suite 201
Phoenix, AZ 85016-7646
Phone
(602) 251-3113
Fax
(602) 251-3114
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0448 AZ Primary

Addresses

Primary practice location

1701 E Thomas Rd
Suite 201
Phoenix, AZ 85016-7646

Mailing address

1701 E Thomas Rd
Suite 201
Phoenix, AZ 85016-7646
Phone (602) 251-3113

Other identifiers 3

IdentifierTypeStateIssuer
480022566OtherAZMEDICARE RAILROAD
AZ0192020OtherAZBLUE CROSS BLUE SHIELD
358433MedicaidAZ

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
I20040521000695 AZ Practitioner - Podiatry 0042201634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Foot and Ankle Associates PCGroup PAC ID 2769473248, 4 clinicians

Practice addresses (Care Compare)

1701 E Thomas Rd
Suite 201
Phoenix, AZ 85016-7674
Phone (602) 251-3113

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue224
Removal of skin lesions1-10
Removal of nail tissue205
Removal or shaving of skin growth150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0448AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Foot & Ankle Associates PC Podiatrist CurrentSince Jul 21, 2003 Accepting new patients

Locations

1701 E Thomas Rd
Ste 201
Phoenix, AZ 85016
Phone (602) 251-3113

926 E McDowell Rd
Ste 211
Phoenix, AZ 85006
Phone (602) 251-3113

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1730175134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E THOMAS RD",
            "address_2": "SUITE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167646",
            "telephone_number": "602-251-3113",
            "fax_number": "602-251-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E THOMAS RD",
            "address_2": "SUITE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167646",
            "telephone_number": "602-251-3113",
            "fax_number": "602-251-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480022566",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0192020",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358433",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.