Pnc Podiatry of Arizona PC
NPI 1063168359 · Foot & Ankle Surgery Podiatrist · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pnc Podiatry of Arizona PC is a Foot & Ankle Surgery Podiatrist organization in Mesa, AZ (NPI 1063168359).
Provider details
- NPI number
- 1063168359
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Alexander Reyzelman, Cmo(415) 292-0638
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
- Physical Therapy Assistant225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sports Medicine Podiatrist213ES0000X
Podiatric Medicine & Surgery Service Providers
- Orthopedic Physical Therapist2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Foot Surgery Podiatrist213ES0131X
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Desert Foot & Ankle
Registry dates
- Enumerated
- 2022-02-24
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Pnc Podiatry of Arizona PC's NPI number?
- Pnc Podiatry of Arizona PC's National Provider Identifier (NPI) is 1063168359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pnc Podiatry of Arizona PC?
- Pnc Podiatry of Arizona PC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Pnc Podiatry of Arizona PC located?
- Pnc Podiatry of Arizona PC's practice location on file with NPPES is 1520 S Dobson Rd Ste 312, Mesa, AZ 85202-4700.
- What is Pnc Podiatry of Arizona PC's phone number?
- The practice phone number listed in the NPPES registry for Pnc Podiatry of Arizona PC is (480) 844-8218.
- Does Pnc Podiatry of Arizona PC accept Medicare?
- Pnc Podiatry of Arizona PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pnc Podiatry of Arizona PC?
- The authorized official listed on Pnc Podiatry of Arizona PC's NPPES record is Alexander Reyzelman, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pnc Podiatry of Arizona PC's NPI active?
- Yes — Pnc Podiatry of Arizona PC's NPI (1063168359) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.