Active NPI
Saba Hajimollaali Kani, DPM
- Foot & Ankle Surgery Podiatrist
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD-001047
- Practice address
- 3103 Clearwater Dr Ste B
Prescott, AZ 86305-7165 - Phone
- (928) 216-3366
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD-001047 | AZ | Primary |
Addresses
Primary practice location
3103 Clearwater Dr Ste B
Prescott, AZ 86305-7165
Mailing address
3103 Clearwater Dr Ste B
Prescott, AZ 86305-7165
Phone (928) 216-3366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107031720-00 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
El Mirage, AZ 85335
Phone (714) 290-8347
3103 Clearwater Dr
Suite B
Prescott, AZ 86305-7165
Phone (928) 776-9428
Hospital & facility affiliations
- Yavapai Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.36 of 100
- Quality
- 95.72
- Improvement activities
- 40
- Cost
- 55.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 167 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 630 |
| Removal or shaving of skin growth | 238 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hayman Multi-Care, P.L.C. | Foot & Ankle Surgery | Current | Accepting new patients |
| MH 7 LLC | Current | Accepting new patients | |
| Desert Mobile Foot Care LLC | Podiatrist | Current | Accepting new patients |
| Hayman Multicare | Podiatrist | Current | Accepting new patients |
Locations
2942 N 24th St
Ste 114
Phoenix, AZ 85016
Phone (509) 381-6035
3103 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (623) 748-5029
3109 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 460-4443
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Podiatrist
- Phoenix, AZ
- NPI 1316738214
-
- Foot & Ankle Surgery Podiatrist
- Prescott, AZ
- NPI 1487749818
-
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1710255088
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1699025981
-
- Podiatrist
- Prescott, AZ
- NPI 1922543925
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1871151563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 CLEARWATER DR STE B",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057165",
"telephone_number": "928-216-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 CLEARWATER DR STE B",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057165",
"telephone_number": "928-216-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANI",
"first_name": "SABA",
"middle_name": "HAJIMOLLAALI",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "POD-001047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107031720-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.