Individual provider Active NPI

Mikkel Jarman

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
National Provider Identifier
1760804991
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0776 Issued in AZ
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
896662MedicaidAZ

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
I20140501001769 AZ Practitioner - Podiatry 8921231739 Reassigns benefits to 1 organization

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

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0776AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Foot and Ankle Specialists of Arizona, PLLC Podiatrist CurrentSince Aug 12, 2013 Accepting new patients
Preferred Foot and Ankle Specialists of Arizona, PLLC Podiatrist CurrentSince Apr 1, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.