NATHANIEL A PTAK
NPI 1194387571
Podiatrist - Foot & Ankle Surgery in Sierra Vista, AZ

Q: What is Nathaniel Ptak's NPI number?

The NPI number for Nathaniel Ptak is 1194387571. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Q: What is Nathaniel Ptak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Ptak was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 05, 2019PECOS EnrolledAccepts Medicare Assignment

5750 E HIGHWAY 90 STE 200, SIERRA VISTA, AZ 85635(520) 263-3761(520) 263-3779 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Jul 20, 2021, Jun 30, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Nathaniel A Ptak NPPES

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

NATHANIEL A PTAK (NPI 1194387571) is an individual foot & ankle surgery provider in Sierra Vista, Arizona, licensed in Arizona (POD001108) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of William M. Scholl College Of Podiatric Medicine (2019).

NPPES Registry Identity

NPI1194387571

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameNATHANIEL A PTAK

Location Address5750 E HIGHWAY 90 STE 200Sierra Vista, AZ 85635-9113

Mailing Address5750 E Highway 90 Ste 200Sierra Vista, AZ 85635-9113 · (520) 263-3761

Phone(520) 263-3761

Fax(520) 263-3779

Sole ProprietorNo

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2019

Enumeration DateJuly 5, 2019

Last NPPES UpdateJune 26, 20254 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1194387571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code213ES0103X

License✔ Licensed in AZ · POD001108

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 12366058-0501 (UT)

5750 E HIGHWAY 90 STE 200, Sierra Vista, AZ 85635

Open in Google Maps ↗

Secondary Practice Locations 2

Location 15121 S Cottonwood StMurray, UT 84107-5701 · Phone (801) 507-7000

Location 21670 Clairmont RdDecatur, GA 30033-4004 · Phone (404) 321-6111

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathaniel A Ptak 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 ID9830536804

PECOS Enrollment IDI20240710004710

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Other Providers at the Same Location NPPES 10

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

MS. SHERRY ELIZABETH HRON APRN FNP-BC

Nurse Practitioner (Family)