FOOT DOCTOR PC
NPI 1871624742
Podiatrist in Phoenix, AZ

Active since March 09, 2007
7000 N 16TH ST # 120, BOX 483, PHOENIX, AZ 85020(602) 874-8566(602) 395-1818 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Foot Doctor Pc NPPES

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

FOOT DOCTOR PC (NPI 1871624742) is a healthcare organization registered as a podiatrist in Phoenix, Arizona and active in the NPI registry since March 2007. The organization lists Karyn Sallus, Provider, as its authorized official.

NPPES Registry Identity

NPI1871624742
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFOOT DOCTOR PC
Location Address7000 N 16TH ST # 120, BOX 483Phoenix, AZ 85020-5547
Mailing Address7000 N 16th St # 120, Box 483Phoenix, AZ 85020-5547 · (602) 874-8566 · Fax (602) 395-1818
Fax(602) 395-1818
Organization SubpartNo
Authorized OfficialKaryn SallusProvider · (602) 874-8566
Enumeration DateMarch 9, 2007
Last NPPES UpdateMarch 20, 2012
✔ NPI 1871624742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
7000 N 16TH ST # 120, Phoenix, AZ 85020

Other Identifiers 1

Other480030876AZ · Medicare Railroad

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

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)

Foot Doctor Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20080428000412Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Foot Doctor PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1598752396
7000 N 16TH ST SUITE 120 BOX 483
Phoenix, AZ 85020
(602) 395-1818
✔ 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 Foot Doctor PC's NPI number?

The NPI number for Foot Doctor PC is 1871624742. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Foot Doctor PC located?

Foot Doctor PC is located at 7000 N 16th St # 120 Box 483, Phoenix, AZ 85020. The listed phone number is (602) 874-8566.

What is Foot Doctor PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Foot Doctor PC enrolled in Medicare?

Yes. Foot Doctor PC is registered in the Medicare PECOS enrollment system.

When is Foot Doctor PC'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 November 30, 2026. 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 Foot Doctor PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Foot Doctor 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 Foot Doctor PC was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.