Phong Ta
NPI 1083298509ActiveIndividual· Podiatrist· Phoenix, AZ
Podiatrist with Desert Mobile Foot Care LLC, practicing in Phoenix, Arizona. Medicare paid $38,110 for services to 159 patients in 2024.
Overview
| NPI | 1083298509 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 11, 2021 |
| Last updated in NPPES | Aug 6, 2024 |
| Certified by provider | Aug 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | POD-001122. | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 159 |
|---|---|
| Services billed | 461 across 14 procedure codes |
| Paid by Medicare | $38,110 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Podiatry |
Medical group
- Desert Mobile Foot Care LLCEl Mirage, AZ · 5 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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