Individual provider Active NPI

Jason C Harrill, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
National Provider Identifier
1972563955
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0539 Issued in AZ
Practice address
1520 S Dobson Rd
Ste 307
Mesa, AZ 85202-4725
Phone
(480) 844-8218
Fax
(480) 844-9950
NPI assigned
Mar 24, 2006
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0539 AZ Primary

Addresses

Primary practice location

1520 S Dobson Rd
Ste 307
Mesa, AZ 85202-4725

Mailing address

1520 S Dobson Rd
Ste 307
Mesa, AZ 85202-4725
Phone (480) 844-8218

Other identifiers 4

IdentifierTypeStateIssuer
7554489OtherAZAETNA
AZ0195030OtherAZBLUE CROSS BLUE SHIELD
791633MedicaidAZ
2Z0497OtherAZHEALTHNET OF ARIZONA

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
I20040313000348 AZ Practitioner - Podiatry 6608765938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Foot and Ankle P CGroup PAC ID 3678461985, 6 clinicians
PNC Podiatry of Arizona PCGroup PAC ID 5496264863, 6 clinicians

Practice addresses (Care Compare)

1520 S Dobson Rd
Suite 312
Mesa, AZ 85202-4700
Phone (480) 844-8218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as individual
Quality
81.8
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue119
Removal of skin lesions1-10
Removal of nail tissue326
Removal or shaving of skin growth110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0539AZMDFoot & Ankle Surgery Podiatrist
539AZMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
PNC Podiatry of Arizona PC Foot & Ankle Surgery CurrentSince May 19, 2025 Accepting new patients
Desert Foot & Ankle P C Foot & Ankle Surgery CurrentSince Oct 20, 2003 Accepting new patients
Desert Foot & Ankle P C Primary Podiatric Medicine CurrentSince Oct 20, 2003 Accepting new patients

Locations

13430 N Saguaro Blvd
Ste 100
Fountain Hills, AZ 85268
Phone (480) 445-9199

1520 S Dobson Rd
Ste 307
Mesa, AZ 85202
Phone (480) 844-8218

1520 S Dobson Rd
Ste 312
Mesa, AZ 85202
Phone (480) 844-8218

15601 N 28th Ave
#102
Phoenix, AZ 85053
Phone (602) 844-8218

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26083/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jason.harrill.1@26083.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1972563955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD",
            "address_2": "STE 307",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024725",
            "telephone_number": "480-844-8218",
            "fax_number": "480-844-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD",
            "address_2": "STE 307",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024725",
            "telephone_number": "480-844-8218",
            "fax_number": "480-844-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRILL",
        "first_name": "JASON",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7554489",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0195030",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "791633",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF ARIZONA",
            "identifier": "2Z0497",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.