PNC PODIATRY OF ARIZONA PC
NPI 1063168359
Podiatrist - Foot & Ankle Surgery in Mesa, AZ

Q: What is Pnc Podiatry Of Arizona PC's NPI number?

The NPI number for Pnc Podiatry Of Arizona PC is 1063168359. It was assigned to this organization in the NPPES registry on February 24, 2022. The provider is doing business as Desert Foot & Ankle.

Q: What is Pnc Podiatry Of Arizona PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since February 24, 2022

1520 S DOBSON RD STE 312, MESA, AZ 85202(480) 844-8218(480) 844-8218 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, May 21, 2025, Oct 24, 2022 and 1 more (4 updates tracked since 2022).

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About Pnc Podiatry Of Arizona Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PNC PODIATRY OF ARIZONA PC (NPI 1063168359), doing business as Desert Foot & Ankle, is a healthcare organization registered as a foot & ankle surgery in Mesa, Arizona and active in the NPI registry since February 2022. The organization lists Alexander Reyzelman, Cmo, as its authorized official.

NPPES Registry Identity

NPI1063168359

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NamePNC PODIATRY OF ARIZONA PC

Location Address1520 S DOBSON RD STE 312Mesa, AZ 85202-4700

Mailing AddressPo Box 32183Belfast, ME 04915-0199 · (415) 645-4525 · Fax (510) 399-1364

Phone(480) 844-8218

Fax(480) 844-8218

Organization SubpartNo

Authorized OfficialAlexander ReyzelmanCmo · (415) 292-0638

Enumeration DateFebruary 24, 2022

Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1063168359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X

Also ListedPhysical Therapy AssistantTaxonomy 225200000X

1520 S DOBSON RD STE 312, Mesa, AZ 85202

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Other Names 1

Doing Business AsDesert Foot & Ankle

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pnc Podiatry Of Arizona Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pnc Podiatry Of Arizona PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Jason Harrill, DPM

Podiatry

NPI 1972563955

1520 S DOBSON RD STE 307
Mesa, AZ 85202

(480) 844-8218

✔ PECOS✔ Accepts MedicareSame address

Scott Maling, DPM

Podiatry

NPI 1780643395

1520 S DOBSON RD SUITE 307
Mesa, AZ 85202

(480) 844-8218

✔ PECOS✔ Accepts MedicareSame address

Mark Pipher, D.P.M.

Podiatry

NPI 1932356805

1520 S DOBSON RD SUITE 307
Mesa, AZ 85202

(480) 844-8218

✔ PECOS✔ Accepts MedicareSame address

Samuel Strothman, DPM

Podiatry

NPI 1487386546

1520 S DOBSON RD STE 312
Mesa, AZ 85202

(480) 844-8218

✔ PECOS✔ Accepts MedicareSame address

Blake Wallace, DPM

Podiatry

NPI 1083216949

15601 N 28TH AVE STE 102
Phoenix, AZ 85053

(480) 844-8218

✔ PECOS✔ Accepts Medicare22 mi

Amy Ross

Podiatry

NPI 1699304741

2970 N LITCHFIELD RD STE 120
Goodyear, AZ 85395

(623) 935-5780

✔ PECOS✔ Accepts Medicare29 mi

Jochen Schaefer, M.D

Pathology

NPI 1831356757

2121 WILSHIRE BLVD STE 103
Santa Monica, CA 90403

(310) 828-0011

✔ PECOS✔ Accepts Medicare383 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pnc Podiatry Of Arizona PC's NPI number?

The NPI number for Pnc Podiatry Of Arizona PC is 1063168359. It was assigned to this organization in the NPPES registry on February 24, 2022. The provider is doing business as Desert Foot & Ankle.

Where is Pnc Podiatry Of Arizona PC located?

Pnc Podiatry Of Arizona PC is located at 1520 S Dobson Rd Ste 312, Mesa, AZ 85202. The listed phone number is (480) 844-8218.

What is Pnc Podiatry Of Arizona PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Pnc Podiatry Of Arizona PC enrolled in Medicare?

Yes. Pnc Podiatry Of Arizona PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pnc Podiatry Of Arizona PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Pnc Podiatry Of Arizona PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Podiatry (6) and Pathology (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pnc Podiatry Of Arizona PC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Pnc Podiatry Of Arizona PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pnc Podiatry Of Arizona PC was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.