Organization Active NPI

Mirsaidi PLLC

  • Podiatrist
  • Sun Lakes, AZ
National Provider Identifier
1801613526
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MIRSAIDI PLLC
Practice address
9508 E Riggs Rd
Sun Lakes, AZ 85248-7531
Phone
(480) 883-2000
NPI assigned
Sep 24, 2024
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Matine Mirsaidi, DPMNPI 1417578113
Title
Owner
Phone
(602) 502-7620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

9508 E Riggs Rd
Sun Lakes, AZ 85248-7531

Mailing address

20701 N Scottsdale Rd # 107-452
Scottsdale, AZ 85255-6413
Phone (480) 424-4738

Other practice location 1

5230 E Shea Blvd
Scottsdale, AZ 85254-5750
Phone (480) 424-4738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260526000093 AZ Part B Supplier - Clinic/Group Practice 0547730145 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ; Sun Lakes, AZ

National Provider Directory

National Provider Directory

Locations

20701 N Scottsdale Rd
Scottsdale, AZ 85255
Phone (480) 999-4954

5230 E Shea Blvd
Scottsdale, AZ 85254
Phone (480) 424-4738

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1801613526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20701 N SCOTTSDALE RD # 107-452",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556413",
            "telephone_number": "480-424-4738",
            "fax_number": "480-802-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 E RIGGS RD",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487531",
            "telephone_number": "480-883-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852545750",
            "country_code": "US",
            "telephone_number": "480-424-4738",
            "fax_number": "480-802-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRSAIDI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MIRSAIDI",
        "authorized_official_first_name": "MATINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-502-7620",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.