PARADISE VALLEY FOOT & ANKLE PLLC
NPI 1710234422
Podiatrist in Phoenix, AZ
About Paradise Valley Foot & Ankle Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARADISE VALLEY FOOT & ANKLE PLLC (NPI 1710234422) is a healthcare organization registered as a podiatrist in Phoenix, Arizona and active in the NPI registry since August 2012. The organization maintains a secondary practice location in Anthem and lists Kyle Vaughn, Dpm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paradise Valley Foot & Ankle Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Paradise Valley Foot & Ankle PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Paradise Valley Foot & Ankle PLLC's NPI number?
The NPI number for Paradise Valley Foot & Ankle PLLC is 1710234422. It was assigned to this organization in the NPPES registry on August 13, 2012.
Where is Paradise Valley Foot & Ankle PLLC located?
Paradise Valley Foot & Ankle PLLC is located at 4611 E Shea Blvd Ste 160, Phoenix, AZ 85028. The listed phone number is (480) 705-9920.
What is Paradise Valley Foot & Ankle PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Paradise Valley Foot & Ankle PLLC enrolled in Medicare?
Yes. Paradise Valley Foot & Ankle PLLC is registered in the Medicare PECOS enrollment system.
When is Paradise Valley Foot & Ankle PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Paradise Valley Foot & Ankle PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Paradise Valley Foot & Ankle 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Paradise Valley Foot & Ankle PLLC accept?
Health plans from Cigna HealthCare of Arizona, Inc list Paradise Valley Foot & Ankle 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 Paradise Valley Foot & Ankle PLLC was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Paradise Valley Foot & Ankle Pllc · NPI 1710234422
Podiatrist organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since August 13, 2012.
## Identity
- **NPI:** 1710234422 (Entity type: Organization)
- **Enumerated:** August 13, 2012
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Kyle Vaughn, DPM
## Practice location
- **Address:** 4611 E SHEA BLVD STE 160, Phoenix, AZ 85028-4257
- **Phone:** (480) 705-9920 · **Fax:** (800) 530-9132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1710234422) · Data from the CMS NPPES public registry.