Individual provider Active NPI

Saba Hajimollaali Kani, DPM

  • Foot & Ankle Surgery Podiatrist
  • Prescott, AZ
National Provider Identifier
1871151563
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-001047 Issued in AZ
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

Updated by the provider on Mar 18, 2024

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 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

IdentifierTypeStateIssuer
107031720-00MedicaidOH

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
I20220714003850 AZ Practitioner - Podiatry 9234510751 Reassigns benefits to 4 organizations

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
Desert Mobile Foot Care LLCGroup PAC ID 3870080310, 5 clinicians
Hayman Multicare LLCGroup PAC ID 4880591619, 3 clinicians

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 Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score
94.36 of 100Reported as group
Quality
95.72
Improvement activities
40
Cost
55.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue167
Removal of skin lesions19
Removal of nail tissue630
Removal or shaving of skin growth238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hayman Multi-Care, P.L.C. Foot & Ankle Surgery CurrentSince Apr 2, 2023 Accepting new patients
MH 7 LLC CurrentSince Apr 19, 2024 Accepting new patients
Desert Mobile Foot Care LLC Podiatrist CurrentSince Nov 27, 2025 Accepting new patients
Hayman Multicare Podiatrist CurrentSince Apr 2, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.