Paradise Valley Foot & Ankle PLLC
NPI 1710234422ActiveOrganization· Podiatrist· Phoenix, AZ
Podiatrist in Phoenix, Arizona, registered in NPPES in August 2012. The authorized official on file is Kyle Vaughn, Dpm. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1710234422 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2012 |
| Last updated in NPPES | Nov 23, 2020 |
| Certified by provider | Nov 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 726 | AZ |
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 DME Supplier - Physician - Podiatry (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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