Individual provider Active NPI

Austin Rollins, DPM

  • Podiatrist
  • Buckeye, AZ
National Provider Identifier
1912588377
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0001112 Issued in AZ
Practice address
865 S Watson Rd
Buckeye, AZ 85326-3469
Phone
(623) 974-0522
NPI assigned
Apr 17, 2021
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 0001112 AZ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 0001112 AZ

Addresses

Primary practice location

865 S Watson Rd
Buckeye, AZ 85326-3469

Mailing address

13660 N 94TH Dr Ste D1
Peoria, AZ 85381-4275
Phone (623) 974-0522

Other practice location 1

13660 N 94th Dr Ste D1
Peoria, AZ 85381-4275
Phone (623) 974-0522

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
I20241028001048 AZ Practitioner - Podiatry 5991238131 Reassigns benefits to 1 organization
Practice locations: Peoria, AZ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Arizona Podiatric Med Program at Midwestern Un, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical Specialists PLLCGroup PAC ID 3072047174, 2 clinicians

Practice addresses (Care Compare)

13660 N 94TH Dr
Suite D1
Peoria, AZ 85381-4275
Phone (623) 215-2541

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of skin lesions56
Removal of nail tissue113
Removal or shaving of skin growth50
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001112AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Specialists, PLLC Podiatrist CurrentSince Nov 28, 2024 Accepting new patients
Shane Moore DPM PC Podiatrist PastSince Jun 23, 2025 Accepting new patients

Locations

865 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 974-0522

13660 N 94th Dr
Ste D1
Peoria, AZ 85381
Phone (623) 230-2912

490 W Bralliar Rd
Wickenburg, AZ 85390
Phone (623) 974-0522

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1912588377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE D1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814275",
            "telephone_number": "623-974-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S WATSON RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263469",
            "telephone_number": "623-974-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13660 N 94th Dr Ste D1",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814275",
            "country_code": "US",
            "telephone_number": "623-974-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "AUSTIN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-17",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0001112",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0001112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.