Katy Melissa Statler, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

876 Issued in AZ

Practice address

4915 E Baseline Rd Ste 121
Gilbert, AZ 85234-2969

Phone

(480) 812-3668

Fax

(480) 782-1290

NPI assigned

Jun 9, 2015

Last updated

Mar 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot Ankle Specialty Centers, LLCGroup PAC ID 7517058381, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katys@direct.meditouchehr.com

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.

• Foot Ankle Specialty Centers, LLC

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
  • NPI 1679603724
  Medicare reassignment Care Compare group NPD
• New Jersey Podiatric Physicians & Surgeons Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Monmouth Junction, NJ
  • NPI 1689038895
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1740661313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "480-812-3668",
            "fax_number": "480-782-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "480-812-3668",
            "fax_number": "480-782-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATLER",
        "first_name": "KATY",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Staples, MA, LAC
• Fonica Stapleton
• Rebecca Stapley
• Autumn Staszak
• Stateserv Medical of Phoenix LLC
• Lawna Staven, PHARMD
• Stay Mobile LLC
• Erin Sue Steck, LAC #21427
• Jaeger Steckler, PT
• Cole Steed

• Podiatrist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.

Verify at the official NPI Registry.