Individual provider Active NPI

Samuel W Cox, DPM

  • Foot & Ankle Surgery Podiatrist
  • Goodyear, AZ
National Provider Identifier
1841230943
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0612 Issued in AZ
Practice address
2970 North Litchfield Road
Suite 120
Goodyear, AZ 85395
Phone
(623) 935-5780
Fax
(623) 935-5783
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0612 AZ
Primary Podiatric Medicine Podiatrist 213EP1101X 0612 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X POD000671 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 0612 AZ Primary
Foot Surgery Podiatrist 213ES0131X 0612 AZ

Addresses

Primary practice location

2970 North Litchfield Road
Suite 120
Goodyear, AZ 85395

Mailing address

2970 North Litchfield Road
Suite 120
Goodyear, AZ 85395
Phone (623) 935-5780

Other identifiers 1

IdentifierTypeStateIssuer
Z118209OtherAZMEDICARE PTAN

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
I20050623000187 AZ Practitioner - Podiatry 2365487089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Foot and Ankle Specialists, LLCGroup PAC ID 9931293644, 4 clinicians

Practice addresses (Care Compare)

2970 N Litchfield Rd
Suite 120
Goodyear, AZ 85395-7831
Phone (623) 935-5780

Merit-based Incentive Payment System (MIPS)

Final score
84.65 of 100Reported as group
Quality
73.17
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue38
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000671GAMDFoot & Ankle Surgery Podiatrist
671GAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Foot & Ankle Specialists, LLC Podiatrist CurrentSince Aug 9, 2007 Accepting new patients
William C Stoll LLC Podiatrist Past Accepting new patients

Locations

2970 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (623) 328-8573

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBCEAA
  • Direct secure messaging: samuel.cox@azfas.eclinicaldirectplus.com

Organizations & group practices 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1841230943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 NORTH LITCHFIELD ROAD",
            "address_2": "SUITE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-935-5780",
            "fax_number": "623-935-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 NORTH LITCHFIELD ROAD",
            "address_2": "SUITE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-935-5780",
            "fax_number": "623-935-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SAMUEL",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0612",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AZ",
            "license": "0612",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000671",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0612",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "0612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z118209",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.