Active NPI
Mikkel Jarman
- Foot & Ankle Surgery Podiatrist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0776
- Practice address
- 633 E Ray Rd
Ste 128
Gilbert, AZ 85296-4200 - Phone
- (480) 497-3946
- Fax
- (480) 497-3947
- NPI assigned
- Jan 7, 2014
- Last updated
- Aug 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0776 | AZ | Primary |
Addresses
Primary practice location
633 E Ray Rd
Ste 128
Gilbert, AZ 85296-4200
Mailing address
633 E Ray Rd
Ste 128
Gilbert, AZ 85296-4200
Phone (480) 497-3946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896662 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 S Kyrene Rd
Suite 3
Chandler, AZ 85226-4722
Phone (480) 561-3734
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0776 | AZ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Foot and Ankle Specialists of Arizona, PLLC | Podiatrist | Current | Accepting new patients |
| Preferred Foot and Ankle Specialists of Arizona, PLLC | Podiatrist | Current | Accepting new patients |
| Preferred Foot and Ankle Specialists of Arizona, PLLC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
30 S Kyrene Rd
Ste 3
Chandler, AZ 85226
Phone (480) 497-3946
633 E Ray Rd
Ste 128
Gilbert, AZ 85296
Phone (480) 247-7391
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Gilbert, AZ
- NPI 1952727984
-
- Podiatrist
- Chandler, AZ
- NPI 1821757964
-
- Foot & Ankle Surgery Podiatrist
- Chandler, AZ
- NPI 1285499640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1760804991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 E RAY RD",
"address_2": "STE 128",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964200",
"telephone_number": "480-497-3946",
"fax_number": "480-497-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 E RAY RD",
"address_2": "STE 128",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964200",
"telephone_number": "480-497-3946",
"fax_number": "480-497-3947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARMAN",
"first_name": "MIKKEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-07",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "0776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "896662",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.