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ISAAC PALACIOS DPM
NPI 1164817425
Podiatrist - Foot & Ankle Surgery in Tuba City, AZ

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Isaac Palacios Dpm NPPES

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

ISAAC PALACIOS DPM (NPI 1164817425) is an individual foot & ankle surgery provider in Tuba City, Arizona, licensed in Arizona (0803) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164817425
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameISAAC PALACIOSCredential: DPM
Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600
Mailing Address3763 N LaderaMesa, AZ 85207-1114 · (928) 283-2501 · Fax (928) 283-2677
Phone(928) 283-2501
Fax(928) 283-2677
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 3, 2015
Last NPPES UpdateApril 15, 2022
NPPES CertifiedApril 15, 2022
✔ NPI 1164817425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in AZ · 0803
167 NORTH MAIN STREET, Tuba City, AZ 86045
Open in Google Maps ↗

Other Identifiers 1

Medicaid97449AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Isaac Palacios Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981908241
PECOS Enrollment IDI20250211002347
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Isaac Palacios reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winslow Indian Health Care Center, Inc
60 mi
Public Health, Federal
1.5 MILE N OF LEUPP CHAPTER HOUSE
Leupp, AZ 86035
  • Reassigned Medicare billing, Texas enrollment
  • 219 clinicians in this Medicare group
NPI 1760652580 (928) 289-4646
Salt River Pima-Maricopa Indian Community
186 mi
Community Health
10005 E OSBORN RD
Scottsdale, AZ 85256
  • Reassigned Medicare billing, Texas enrollment
  • 147 clinicians in this Medicare group
NPI 1942668991 (480) 362-7400
Desert Mobile Foot Care LLC
189 mi
Podiatrist
2942 N 24TH ST STE 114
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1316738214 (602) 774-0189
Mgt Psych LLC
194 mi
Psychiatric/Mental Health
7117 E PERALTA CIR
Mesa, AZ 85212
  • Reassigned Medicare billing, Arizona enrollment
  • 8 clinicians in this Medicare group
NPI 1992401228 (480) 430-0721

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIMMIE L TAYLOR RN
Registered Nurse (Ambulatory Care)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
DARCY ANNA HASTINGS R.N.
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
REBECCA E ROSS RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
CHARLOTTE SMITH RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
GABRIELLE KAY JOE CNA
Nurse's Aide
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
MR. MATTHEW E TIERNEY RDCS
Specialist/Technologist Cardiovascular (Sonography)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
CALVINA NEZ RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2094
ANDRECE JACKSON RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2094

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 Isaac Palacios's NPI number?

The NPI number for Isaac Palacios is 1164817425. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Isaac Palacios located?

Isaac Palacios practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.

What is Isaac Palacios's specialty?

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

Is Isaac Palacios enrolled in Medicare?

Yes. Isaac Palacios is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Isaac Palacios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isaac Palacios reassigns Medicare benefits to 4 organizations: Winslow Indian Health Care Center, Inc (Leupp, AZ), Salt River Pima-Maricopa Indian Community (Scottsdale, AZ), Desert Mobile Foot Care LLC (Phoenix, AZ) and Mgt Psych LLC (Mesa, AZ). Each 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 Isaac Palacios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Isaac Palacios was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.