Active NPI
Ian Newport, DPM
- Foot & Ankle Surgery Podiatrist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD-000968
- Practice address
- 3815 E Bell Rd Ste 3200
Phoenix, AZ 85032-2162 - Phone
- (623) 882-1292
- Fax
- (623) 882-8184
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD-000968 | AZ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD-000968 | AZ | Primary |
Addresses
Primary practice location
3815 E Bell Rd Ste 3200
Phoenix, AZ 85032-2162
Mailing address
3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848
Other practice location 1
3624 W Anthem Way Ste C116
Anthem, AZ 85086-0457
Phone (480) 705-9920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08131 | Medicaid | AZ |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3815 E Bell Rd
Suite 4100
Phoenix, AZ 85032-2167
Phone (602) 494-5040
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 39 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 246 |
| Removal or shaving of skin growth | 119 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD-000968 | AZ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Arizona, LLC | Current | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Current | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients |
Locations
10815 W McDowell Rd
Ste 305
Avondale, AZ 85392
Phone (480) 840-1754
10815 W McDowell Rd
Ste 3
Avondale, AZ 85392
10815 W McDowell Rd
Ste 304
Avondale, AZ 85392
Phone (623) 433-0155
14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190
3815 E Bell Rd
Ste 4100
Phoenix, AZ 85032
Phone (602) 494-5015
3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838
3815 E Bell Rd
Ste 3200
Phoenix, AZ 85032
Phone (480) 840-1754
Interoperability endpoints
- ian.newport.2@33227.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
-
- Neurology Physician
- Phoenix, AZ
- NPI 1245876705
-
- Family Medicine Physician
- Payson, AZ
- NPI 1740459700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1891227294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 E BELL RD STE 4500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322171",
"telephone_number": "602-633-3848",
"fax_number": "602-633-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 E BELL RD STE 3200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322162",
"telephone_number": "623-882-1292",
"fax_number": "623-882-8184"
}
],
"practiceLocations": [
{
"address_1": "3624 W Anthem Way Ste C116",
"address_purpose": "LOCATION",
"city": "Anthem",
"state": "AZ",
"postal_code": "850860457",
"country_code": "US",
"telephone_number": "480-705-9920",
"fax_number": "888-872-0466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWPORT",
"first_name": "IAN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "POD-000968",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "POD-000968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08131",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.