FANCY FOOTWORK PODIATRY
NPI 1821289547
Clinic/Center - Podiatric in Phoenix, AZ

Active since August 07, 2007
9515 W CAMELBACK RD, SUITE 104, PHOENIX, AZ 85037(623) 640-1799(623) 455-9388 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fancy Footwork Podiatry NPPES

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

FANCY FOOTWORK PODIATRY (NPI 1821289547) is a healthcare organization registered as a podiatric in Phoenix, Arizona and active in the NPI registry since August 2007. The organization lists Therese Nicolle Losi, President, as its authorized official.

NPPES Registry Identity

NPI1821289547
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameESTRELLA FOOT AND ANKLE PC
Location Address9515 W CAMELBACK RD, SUITE 104Phoenix, AZ 85037-1355
Mailing AddressPo Box 20490Mesa, AZ 85277-0490 · (480) 296-4642 · Fax (480) 296-7643
Fax(623) 455-9388
Organization SubpartNo
Authorized OfficialTherese Nicolle LosiPresident · (623) 640-1799
Enumeration DateAugust 7, 2007
Last NPPES UpdateMarch 11, 2016
✔ NPI 1821289547 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 · 632
9515 W CAMELBACK RD, Phoenix, AZ 85037

Other Names 1

Doing Business AsFancy Footwork Podiatry

Other Identifiers 1

Medicare NSC6181010001

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fancy Footwork Podiatry 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 Fancy Footwork Podiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1841282811
9515 W CAMELBACK RD STE 104
Phoenix, AZ 85037
(623) 640-1799
✔ 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 Estrella Foot And Ankle PC's NPI number?

The NPI number for Estrella Foot And Ankle PC is 1821289547. It was assigned to this organization in the NPPES registry on August 7, 2007. The provider is doing business as Fancy Footwork Podiatry.

Where is Estrella Foot And Ankle PC located?

Estrella Foot And Ankle PC is located at 9515 W Camelback Rd Suite 104, Phoenix, AZ 85037. The listed phone number is (623) 640-1799.

What is Estrella Foot And Ankle PC's specialty?

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

Is Estrella Foot And Ankle PC enrolled in Medicare?

Yes. Estrella Foot And Ankle PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Estrella Foot And Ankle PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Estrella Foot And Ankle PC. 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.

When was this NPI record last updated?

The NPPES record for Estrella Foot And Ankle PC was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.