Individual provider Active NPI

Peyman A Elison, DPM

  • Foot & Ankle Surgery Podiatrist
  • Surprise, AZ
National Provider Identifier
1861563132
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0517 Issued in AZ
Practice address
14823 W Bell Rd
Suite 100
Surprise, AZ 85374-7607
Phone
(623) 584-5556
Fax
(623) 584-0755
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 0517 AZ Primary

Addresses

Primary practice location

14823 W Bell Rd
Suite 100
Surprise, AZ 85374-7607

Mailing address

14823 W Bell Rd Ste 100
Surprise, AZ 85374-7604
Phone (623) 584-5556

Other identifiers 1

IdentifierTypeStateIssuer
27-4422072OtherAZTAX ID

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
I20060322000117 AZ Practitioner - Podiatry 1153339841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fixingfeet PLLCGroup PAC ID 9436321866, 2 clinicians

Practice addresses (Care Compare)

14823 W Bell Rd
Suite 100
Surprise, AZ 85374-7604
Phone (623) 584-5556

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
517AZMDOptometrist
0517AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fixingfeet, PLLC Foot & Ankle Surgery CurrentSince Aug 15, 2011 Accepting new patients
Surgcenter of Deer Valley, LLC PastSince Oct 1, 2012 Accepting new patients
Peyman a. Elison DPM PC Foot & Ankle Surgery PastSince Oct 26, 2001 Accepting new patients

Locations

14823 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 584-5556

Interoperability endpoints

  • Direct secure messaging: pelison@ffi.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1861563132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14823 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747604",
            "telephone_number": "623-584-5556",
            "fax_number": "623-584-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14823 W BELL RD",
            "address_2": "SUITE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747607",
            "telephone_number": "623-584-5556",
            "fax_number": "623-584-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELISON",
        "first_name": "PEYMAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "27-4422072",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.