Individual provider Active NPI

Myron H Hansen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
National Provider Identifier
1821068636
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0545 Issued in AZ
Practice address
1880 W Frye Rd Ste 3
Chandler, AZ 85224-6234
Phone
(480) 889-2905
Fax
(480) 889-2906
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 0545 AZ Primary

Addresses

Primary practice location

1880 W Frye Rd Ste 3
Chandler, AZ 85224-6234

Mailing address

1880 W Frye Rd
Suite 3
Chandler, AZ 85224-6234
Phone (480) 889-2905

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
I20040511000340 AZ Practitioner - Podiatry 0749279149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M H Hansen DPM PLCGroup PAC ID 6507824836, 2 clinicians

Practice addresses (Care Compare)

1880 W Frye Rd
Suite 3
Chandler, AZ 85224-6234
Phone (480) 889-2905

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue219
Removal of skin lesions1-10
Removal of nail tissue458
Removal or shaving of skin growth86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0545AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
M H Hansen DPM PLC Podiatrist CurrentSince Feb 15, 2008 Accepting new patients

Locations

1880 W Frye Rd
#F3
Chandler, AZ 85224
Phone (480) 889-2905

3200 N Dobson Rd
Ste F-5
Chandler, AZ 85224
Phone (480) 306-8790

1880 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 840-3457

1880 W Frye Rd
Ste F3
Chandler, AZ 85224
Phone (480) 889-2905

Interoperability endpoints

  • Direct secure messaging: mhansen@direct.uspi.com

Organizations & group practices 1

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 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1821068636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W FRYE RD",
            "address_2": "SUITE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246234",
            "telephone_number": "480-889-2905",
            "fax_number": "480-889-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W FRYE RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246234",
            "telephone_number": "480-889-2905",
            "fax_number": "480-889-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MYRON",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.