ADVANCED PODIATRIC SPECIALTY INC
NPI 1295839512
Clinic/Center - Podiatric in Glendale, AZ

Active since September 08, 2006
6677 W THUNDERBIRD RD, J171/172, GLENDALE, AZ 85306(623) 977-6245(623) 977-6280 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Podiatric Specialty Inc NPPES

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

ADVANCED PODIATRIC SPECIALTY INC (NPI 1295839512) is a healthcare organization registered as a podiatric in Glendale, Arizona and active in the NPI registry since September 2006. The organization lists Rajesh P Daulat, President, as its authorized official.

NPPES Registry Identity

NPI1295839512
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameADVANCED PODIATRIC SPECIALTY INC
Location Address6677 W THUNDERBIRD RD, J171/172Glendale, AZ 85306-3709
Mailing Address16519 N 71st AvePeoria, AZ 85382-4951 · (623) 977-6245 · Fax (623) 977-6280
Fax(623) 977-6280
Organization SubpartNo
Authorized OfficialRajesh P DaulatPresident · (623) 977-6245
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJune 9, 2010
✔ NPI 1295839512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in AZ · 0547
6677 W THUNDERBIRD RD, Glendale, AZ 85306

Other Identifiers 2

Medicare NSC5060290001AZ
Medicare PINZ77222AZ

Accepted 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)

Advanced Podiatric Specialty Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Podiatric Specialty Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1467567883
6677 W THUNDERBIRD RD STE J171-172
Glendale, AZ 85306
(623) 977-6245
✔ PECOS✔ Accepts MedicareSame address

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 Advanced Podiatric Specialty Inc's NPI number?

The NPI number for Advanced Podiatric Specialty Inc is 1295839512. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Advanced Podiatric Specialty Inc located?

Advanced Podiatric Specialty Inc is located at 6677 W Thunderbird Rd J171/172, Glendale, AZ 85306. The listed phone number is (623) 977-6245.

What is Advanced Podiatric Specialty Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Advanced Podiatric Specialty Inc enrolled in Medicare?

Yes. Advanced Podiatric Specialty Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Podiatric Specialty Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Advanced Podiatric Specialty Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Podiatric Specialty Inc accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Advanced Podiatric Specialty Inc 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 Advanced Podiatric Specialty Inc was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.