Individual provider Active NPI

Mary C Maselli, DPM

  • Podiatrist
  • Tempe, AZ
National Provider Identifier
1942270962
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0375 Issued in AZ
Practice address
1920 E Baseline Rd
Tempe, AZ 85283-1511
Phone
(480) 968-7835
NPI assigned
Jan 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0375 AZ Primary

Addresses

Primary practice location

1920 E Baseline Rd
Tempe, AZ 85283-1511

Mailing address

1920 E Baseline Rd
Tempe, AZ 85283-1511
Phone (480) 968-7835

Other identifiers 1

IdentifierTypeStateIssuer
172164MedicaidAZ

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
I20081125000737 AZ Practitioner - Podiatry 6709946478 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
I Am Wellness Az LLCGroup PAC ID 8123497344, 35 clinicians
Progressive Pain Management IncGroup PAC ID 1153490727, 32 clinicians
Hope Diabetes Center LLCGroup PAC ID 4183620487, 23 clinicians

Practice addresses (Care Compare)

1616 E Indian School Rd
Suite 135
Phoenix, AZ 85016-8610
Phone (480) 900-9355

1653 E McMurray Blvd
Suite 144
Casa Grande, AZ 85122-5934
Phone (520) 836-8644

202 E Earll Dr
Suite 360
Pheonix, AZ 85012-2677

3048 E Baseline Rd
Suite 122
Mesa, AZ 85204-7288
Phone (480) 497-5933

5060 N 19TH Ave
Suite 207
Phoenix, AZ 85015-3212
Phone (480) 488-5621

9150 W Indian School Rd
Suite 118
Phoenix, AZ 85037-2387
Phone (480) 497-5933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of nail tissue58
Removal or shaving of skin growth19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0375AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Diabetes Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
I Am Wellness Az LLC CurrentSince Apr 1, 2025 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince Mar 3, 2025 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Jan 1, 2001 Accepting new patients
Progressive Pain Management Inc CurrentSince Mar 3, 2025 Accepting new patients
Michael F Esber DPM PC CurrentSince Mar 3, 2025 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince Mar 3, 2025 Accepting new patients
Gregg Krahn DPM PC Podiatrist Past Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Casa Grande ASC, LLC Past Accepting new patients
Floyd I Miller DPM PC Podiatrist Past Accepting new patients
Cigna Health Care of Arizona Inc. Past Accepting new patients

Locations

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

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

333 N Dobson Rd
Ste 5
Chandler, AZ 85224
Phone (480) 280-8888

1134 E University Dr
Ste 111
Mesa, AZ 85203
Phone (480) 398-1220

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

535 E McKellips Rd
Ste 111
Mesa, AZ 85203
Phone (480) 223-1333

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

1616 E Indian School Rd
Ste 135
Phoenix, AZ 85016
Phone (480) 900-9355

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

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

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

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

15425 N Greenway Hayden Loop
Ste A300
Scottsdale, AZ 85260
Phone (480) 607-1124

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

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

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

11323 W Bell Rd
Surprise, AZ 85378

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942270962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831511",
            "telephone_number": "480-968-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831511",
            "telephone_number": "480-968-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASELLI",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172164",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.