Individual provider Active NPI

Leobardo Carranza, DPM

  • Foot Surgery Podiatrist
  • Glendale, AZ
National Provider Identifier
1790156768
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
POD-000910 Issued in AZ
Practice address
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone
(602) 865-5555
NPI assigned
Oct 15, 2015
Last updated
Jun 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X POD-000910 AZ Primary

Addresses

Primary practice location

5555 W Thunderbird Rd
Glendale, AZ 85306-4622

Mailing address

2601 N 3Rd St Ste 201a
Phoenix, AZ 85004-1186
Phone (602) 314-4349

Other practice location 1

18700 N 64th Dr Ste 312
Glendale, AZ 85308-7114
Phone (623) 561-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190322001747 AZ Practitioner - Podiatry 5698015956 Reassigns benefits to 1 organization
I20230417001348 TX Practitioner - Podiatry 5698015956 Reassigns benefits to 1 organization
I20240313001951 AZ Practitioner - Podiatry 5698015956 Practice locations: Glendale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

167 N Main St
Tuba City Indian Medical Center
Tuba City, AZ 86045-0600
Phone (928) 283-2094

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of nail tissue73
Removal or shaving of skin growth24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yadwinder S Dhillon MD PC Podiatrist CurrentSince Dec 25, 2018 Accepting new patients
Leobardo Carranza DPM PLLC Podiatrist CurrentSince Sep 4, 2022 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Mar 16, 2023 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Mar 16, 2023 Accepting new patients
VHS of Arrowhead, Inc. Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1450 S Dobson Rd
Ste B122
Mesa, AZ 85202
Phone (480) 580-2001

1012 E Willetta St
Phoenix, AZ 85006
Phone (602) 239-6040

2601 N 3rd St
Ste 201A
Phoenix, AZ 85004
Phone (480) 907-7707

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1790156768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST STE 201A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041186",
            "telephone_number": "602-314-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064622",
            "telephone_number": "602-865-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18700 N 64th Dr Ste 312",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087114",
            "country_code": "US",
            "telephone_number": "623-561-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "LEOBARDO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "POD-000910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.