ACACIA FOOT AND ANKLE SURGEONS, PLLC
NPI 1689108649
Podiatrist - Foot & Ankle Surgery in Peoria, AZ

Active since April 17, 2017
9179 W THUNDERBIRD RD STE 101, PEORIA, AZ 85381(623) 439-2200 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2025, May 24, 2020, May 20, 2019 and 3 more (6 updates tracked since 2017).

About Acacia Foot And Ankle Surgeons, Pllc NPPES

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

ACACIA FOOT AND ANKLE SURGEONS, PLLC (NPI 1689108649), doing business as Acacia Foot And Ankle Surgeons, is a healthcare organization registered as a foot & ankle surgery in Peoria, Arizona and active in the NPI registry since April 2017. The organization lists Kaveh Panahi, Owner, as its authorized official.

NPPES Registry Identity

NPI1689108649
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameACACIA FOOT AND ANKLE SURGEONS, PLLC
Location Address9179 W THUNDERBIRD RD STE 101Peoria, AZ 85381-4912
Mailing Address9179 W Thunderbird Rd Ste 101Peoria, AZ 85381-4912 · (623) 439-2200
Organization SubpartNo
Authorized OfficialKaveh PanahiOwner · (623) 439-2200
Enumeration DateApril 17, 2017
Last NPPES UpdateDecember 17, 20256 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1689108649 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 · 0793
9179 W THUNDERBIRD RD STE 101, Peoria, AZ 85381

Other Names 1

Doing Business AsAcacia Foot And Ankle Surgeons

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Acacia Foot And Ankle Surgeons, Pllc 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 Acacia Foot And Ankle Surgeons, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1003233834
9179 W THUNDERBIRD RD STE 101
Peoria, AZ 85381
(623) 439-2200
✔ 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 Acacia Foot And Ankle Surgeons, PLLC's NPI number?

The NPI number for Acacia Foot And Ankle Surgeons, PLLC is 1689108649. It was assigned to this organization in the NPPES registry on April 17, 2017. The provider is doing business as Acacia Foot and Ankle Surgeons.

Where is Acacia Foot And Ankle Surgeons, PLLC located?

Acacia Foot And Ankle Surgeons, PLLC is located at 9179 W Thunderbird Rd Ste 101, Peoria, AZ 85381. The listed phone number is (623) 439-2200.

What is Acacia Foot And Ankle Surgeons, PLLC's specialty?

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

Is Acacia Foot And Ankle Surgeons, PLLC enrolled in Medicare?

Yes. Acacia Foot And Ankle Surgeons, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acacia Foot And Ankle Surgeons, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Acacia Foot And Ankle Surgeons, PLLC. 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 Acacia Foot And Ankle Surgeons, PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Acacia Foot And Ankle Surgeons, PLLC 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 Acacia Foot And Ankle Surgeons, PLLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.