Individual provider Active NPI

Ian Newport, DPM

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
National Provider Identifier
1891227294
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-000968 Issued in AZ
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

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08131MedicaidAZ

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
I20200807001718 AZ Practitioner - Podiatry 1153746136 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue246
Removal or shaving of skin growth119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-000968AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince Dec 1, 2022 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Dec 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.