Individual provider Active NPI

Diana Michelle Perry, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flagstaff, AZ
National Provider Identifier
1992294755
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-001012 Issued in AZ
Practice address
2301 N 4TH St
Flagstaff, AZ 86004-3708
Phone
(287) 197-4009
Fax
(928) 440-5399
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X POD-001012 AZ Primary

Addresses

Primary practice location

2301 N 4TH St
Flagstaff, AZ 86004-3708

Mailing address

2301 N 4TH St
Flagstaff, AZ 86004-3708
Phone (928) 719-7400

Other practice location 1

14642 N Del Webb Blvd Ste 200
Sun City, AZ 85351-2102
Phone (480) 770-4615

Other practice location 2

838 W Elliot Rd Ste 101
Gilbert, AZ 85233-5162
Phone (480) 374-7354

Other practice location 3

4566 E Inverness Ave Ste 108
Mesa, AZ 85206-4633
Phone (480) 985-6000

Other practice location 4

2145 W 28th St Ste B
Yuma, AZ 85364-1219
Phone (928) 328-8338

Other practice location 5

10214 N Tatum Blvd Ste B300
Phoenix, AZ 85028-4233
Phone (602) 954-0777

Other practice location 6

6301 S McClintock Dr Ste 115
Tempe, AZ 85283-3393
Phone (480) 775-8460

Other practice location 7

6301 S McClintock Dr Ste 115
Tempe, AZ 85283-3393
Phone (480) 775-8460

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
I20220217001602 AZ Practitioner - Podiatry 2860885746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Clinics of ArizonaGroup PAC ID 7113182940, 12 clinicians

Practice addresses (Care Compare)

1831 E Queen Creek Rd
Chandler, AZ 85286-2019
Phone (480) 917-2300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of skin lesions1-10
Removal of nail tissue427
Removal or shaving of skin growth137
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Interventional Care Centers, PLLC Foot & Ankle Surgery CurrentSince Dec 10, 2021 Accepting new patients
Foot and Ankle Clinics of Arizona Podiatrist CurrentSince Jul 1, 2023 Accepting new patients
Comprehensive Interventional Care Centers, PLLC Foot & Ankle Surgery CurrentSince Dec 10, 2021 Accepting new patients
Grand Canyon Anesthesia LLC Past Accepting new patients

Locations

421 E Cottonwood Ln
Casa Grande, AZ 85122

1831 E Queen Creek Rd
Ste 119
Chandler, AZ 85286

1831 E Queen Creek Rd
Chandler, AZ 85286
Phone (480) 216-4395

1831 E Queen Creek Rd
#119
Chandler, AZ 85286

2301 N 4th St
Flagstaff, AZ 86004
Phone (928) 719-7400

1501 N Gilbert Rd
Ste 207
Gilbert, AZ 85234
Phone (480) 389-1061

838 W Elliot Rd
Ste 101
Gilbert, AZ 85233

7205 S 51st Ave
Ste 103
Laveen, AZ 85339

21300 N John Wayne Pkwy
Ste 116
Maricopa, AZ 85139
Phone (520) 423-9699

4566 E Inverness Ave
Ste 108
Mesa, AZ 85206
Phone (480) 659-4811

2942 N 7th Ave
Ste 102
Phoenix, AZ 85013
Phone (602) 942-0600

3540 E Baseline Rd
Ste 120
Phoenix, AZ 85042
Phone (602) 777-7970

10214 N Tatum Blvd
Ste B300
Phoenix, AZ 85028
Phone (480) 469-6866

21321 E Ocotillo Rd
Ste 103
Queen Creek, AZ 85142
Phone (480) 275-2007

14642 N Del Webb Blvd
Ste 200
Sun City, AZ 85351
Phone (480) 347-0844

1492 S Mill Ave
Ste 314
Tempe, AZ 85281
Phone (480) 736-1777

6301 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 775-8460

2145 W 28th St
Ste B
Yuma, AZ 85364
Phone (928) 328-8338

2145 W 28th St
Ste Ab
Yuma, AZ 85364

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72450

Organizations & group practices 4

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1992294755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043708",
            "telephone_number": "928-719-7400",
            "fax_number": "928-440-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043708",
            "telephone_number": "287-197-4009",
            "fax_number": "928-440-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14642 N Del Webb Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853512102",
            "country_code": "US",
            "telephone_number": "480-770-4615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "838 W Elliot Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335162",
            "country_code": "US",
            "telephone_number": "480-374-7354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4566 E Inverness Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064633",
            "country_code": "US",
            "telephone_number": "480-985-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 W 28th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853641219",
            "country_code": "US",
            "telephone_number": "928-328-8338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10214 N Tatum Blvd Ste B300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850284233",
            "country_code": "US",
            "telephone_number": "602-954-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 S McClintock Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852833393",
            "country_code": "US",
            "telephone_number": "480-775-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 S McClintock Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852833393",
            "country_code": "US",
            "telephone_number": "480-775-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DIANA",
        "middle_name": "MICHELLE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-001012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.