Individual provider Active NPI

Stephen Jeremy Kominsky, D.P.M.

  • Podiatrist
  • Phoenix, AZ
National Provider Identifier
1992706808
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01800 Issued in MD
Practice address
2525 W Greenway Rd Ste 2440
Phoenix, AZ 85023-4226
Phone
(480) 573-0130
Fax
(480) 573-0131
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01800 MD
Podiatrist 213E00000X 01800 MD Primary

Addresses

Primary practice location

2525 W Greenway Rd Ste 2440
Phoenix, AZ 85023-4226

Mailing address

2525 W Greenway Rd Ste 300
Phoenix, AZ 85023-4292
Phone (480) 573-0130

Other practice location 1

2563 S Val Vista Dr Ste 101
Gilbert, AZ 85295-6231
Phone (480) 573-0130

Other practice location 2

13128 N 94th Dr Ste 100
Peoria, AZ 85381-4252
Phone (480) 573-0130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI, WV, PA, MD, AZ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050315000576 VI Practitioner - Podiatry 1951200773 Reassigns benefits to 1 organization
I20230724001628 WV Practitioner - Podiatry 1951200773
I20240909003096 PA Practitioner - Podiatry 1951200773 Reassigns benefits to 1 organization
I20250411003361 MD Practitioner - Podiatry 1951200773 Reassigns benefits to 1 organization
I20250604001379 AZ Practitioner - Podiatry 1951200773 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1982
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
Advanced Spine and Pain LLCGroup PAC ID 0941610075, 30 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

2525 W Greenway Rd
Suite 240
Phoenix, AZ 85023-4281
Phone (480) 573-0130

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
70.35
Improvement activities
40
Cost
87.76

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue50
Removal of skin lesions1-10
Removal of nail tissue180
Removal or shaving of skin growth47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01800MDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Pain Management Inc Foot & Ankle Surgery CurrentSince May 15, 2025 Accepting new patients
VI Government Hospital and Health Facilities Corp Current Accepting new patients
Podiatry Associates, P.a. Podiatrist CurrentSince Mar 20, 2025 Accepting new patients
Gary a Raymond, DPM PC Podiatrist CurrentSince Aug 13, 2024 Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince May 15, 2025 Accepting new patients
Michael F Esber DPM PC Foot & Ankle Surgery CurrentSince May 15, 2025 Accepting new patients
Hope Diabetes Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
Gary a Raymond, DPM, PC Podiatrist CurrentSince Aug 13, 2024 Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince May 15, 2025 Accepting new patients
I Am Wellness Az LLC CurrentSince May 15, 2025 Accepting new patients
Floyd I Miller DPM PC Podiatrist Past Accepting new patients
Gregg Krahn DPM PC Podiatrist Past Accepting new patients
Advanced Spine and Pain LLC Past Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients
Casa Grande ASC, LLC Past Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Advanced Spine and Pain LLC Past Accepting new patients
Innovative Pain and Wellness PLC Past Accepting new patients

Locations

1653 E McMurray Blvd
Casa Grande, AZ 85122

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

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

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

9150 W Indian School Rd
Phoenix, AZ 85037
Phone (480) 613-9961

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

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

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

13640 N 99th Ave
Ste 200
Sun City, AZ 85351
Phone (623) 322-5700

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

14418 W Meeker Blvd
Ste B205
Sun City West, AZ 85375
Phone (623) 546-4960

11323 W Bell Rd
Surprise, AZ 85378

1 N Main St
Bel Air, MD 21014
Phone (410) 803-0788

1 N Main St
Ste 1
Bel Air, MD 21014
Phone (410) 927-3510

9114 Philadelphia Rd
Ste 308
Rosedale, MD 21237
Phone (410) 574-3900

711 Logan Blvd
Altoona, PA 16602

2590 Park Center Blvd
Ste 200
State College, PA 16801
Phone (814) 231-1566

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1992706808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234292",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 2440",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234226",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2563 S Val Vista Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852956231",
            "country_code": "US",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13128 N 94th Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814252",
            "country_code": "US",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMINSKY",
        "first_name": "STEPHEN",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01800",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.