Individual provider Active NPI

Roland Allen Palmquist, DPM

  • Foot & Ankle Surgery Podiatrist
  • Parker, AZ
National Provider Identifier
1750301545
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
635 Issued in AZ
Practice address
12033 Agency Rd
Parker, AZ 85344-7718
Phone
(928) 669-2137
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD-2 GU
Foot & Ankle Surgery Podiatrist 213ES0103X E3868 CA
Foot & Ankle Surgery Podiatrist 213ES0103X 635 AZ Primary

Addresses

Primary practice location

12033 Agency Rd
Parker, AZ 85344-7718

Mailing address

8958 Riverside Dr
Parker, AZ 85344-8088
Phone (928) 667-4494

Other identifiers 1

IdentifierTypeStateIssuer
749096MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041207001246 TX Practitioner - Podiatry 9931165347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 0244405629, 54 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 7810163011, 25 clinicians

Practice addresses (Care Compare)

12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137

943 Hualapai Way
Peach Springs Health Center
Peach Springs, AZ 86434-0190
Phone (928) 769-2900

943 Hualapai Way P O Box
190 Peach Springs Health Center
Peach Springs, AZ 86434-0190

Hospital & facility affiliations

  • Parker Indian Health Center Hospital, Parker, AZ, CCN 031307
  • La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

Merit-based Incentive Payment System (MIPS)

Final score
70.2 of 100Reported as group
Quality
74.9
Improvement activities
40
Cost
20.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
635AZMDFoot & Ankle Surgery Podiatrist
E3868CAMDFoot & Ankle Surgery Podiatrist
POD-2GUMDFoot & Ankle Surgery Podiatrist
158MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Regional Hospital Inc Podiatrist Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Apr 21, 2018 Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

Interoperability endpoints

  • Direct secure messaging: rolandpalmquist@lprh.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1750301545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8958 RIVERSIDE DR",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853448088",
            "telephone_number": "928-667-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 AGENCY RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853447718",
            "telephone_number": "928-669-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMQUIST",
        "first_name": "ROLAND",
        "middle_name": "ALLEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GU",
            "license": "POD-2",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3868",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "749096",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

Verify at the official NPI Registry.