Individual provider Active NPI

Charles Michael Zillweger, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1881278265
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-001116 Issued in AZ
Practice address
3601 S 6TH Ave
Tucson, AZ 85723-0001
Phone
(520) 792-1450
NPI assigned
May 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD-001116 AZ Primary
Podiatric Assistant 211D00000X AZ

Addresses

Primary practice location

3601 S 6TH Ave
Tucson, AZ 85723-0001

Mailing address

8241 W Dreyfus Dr
Peoria, AZ 85381-4956
Phone (623) 256-5880

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
I20240718004835 AZ Practitioner - Podiatry 6103362702 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onesource Senior Healthcare PLLCGroup PAC ID 6901026988, 13 clinicians

Practice addresses (Care Compare)

16427 N Scottsdale Rd
Suite 410
Scottsdale, AZ 85254-7102
Phone (888) 495-4489

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1062
Removal or shaving of skin growth117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Pain Management Inc Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients
Onesource Senior Healthcare PLLC Podiatrist CurrentSince Apr 11, 2025 Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince Jun 1, 2024 Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince Jun 1, 2024 Accepting new patients
Acharles Consult Foot & Ankle Surgery CurrentSince Dec 1, 2024 Accepting new patients
Hope Diabetes Center, LLC CurrentSince Jun 1, 2024 Accepting new patients
Michael F Esber DPM PC Foot & Ankle Surgery CurrentSince Jun 1, 2024 Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients

Locations

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

16390 N 59th Ave
Glendale, AZ 85306

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

412 Whipple St
Prescott, AZ 86301
Phone (480) 630-8103

6908 E Thomas Rd
Scottsdale, AZ 85251
Phone (702) 929-4299

16427 N Scottsdale Rd
Ste 410
Scottsdale, AZ 85254
Phone (480) 418-1932

2629 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (623) 277-5552

13640 N 99th Ave
Ste 200
Sun City, AZ 85351
Phone (623) 322-5700

14418 W Meeker Blvd
Ste B205
Sun City West, AZ 85375
Phone (623) 546-4960

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

17061 N Avenue of the Arts
Ste 100
Surprise, AZ 85378
Phone (623) 277-5552

11323 W Bell Rd
Surprise, AZ 85378

Organizations & group practices 9

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1881278265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8241 W DREYFUS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814956",
            "telephone_number": "623-256-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILLWEGER",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-001116",
            "primary": true
        },
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.