Southern Arizona Podiatry LLC
NPI 1104691773 · Foot & Ankle Surgery Podiatrist · Green Valley, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Arizona Podiatry LLC is a Foot & Ankle Surgery Podiatrist organization in Green Valley, AZ (NPI 1104691773).
Provider details
- NPI number
- 1104691773
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Steven Gillespie, Podiatrist(520) 640-7010
Specialties & taxonomies
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
2 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
- Southern Arizona Podiatry
- Doing business as
- Southern Arizona Podiatry
Registry dates
- Enumerated
- 2023-11-23
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Frequently asked questions
- What is Southern Arizona Podiatry LLC's NPI number?
- Southern Arizona Podiatry LLC's National Provider Identifier (NPI) is 1104691773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Arizona Podiatry LLC?
- Southern Arizona Podiatry LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Southern Arizona Podiatry LLC located?
- Southern Arizona Podiatry LLC's practice location on file with NPPES is 1055 N La Canada Dr Ste 135, Green Valley, AZ 85614-3700.
- What is Southern Arizona Podiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Arizona Podiatry LLC is (801) 310-5651.
- Does Southern Arizona Podiatry LLC accept Medicare?
- Southern Arizona Podiatry LLC 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 Southern Arizona Podiatry LLC?
- The authorized official listed on Southern Arizona Podiatry LLC's NPPES record is Steven Gillespie, Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Arizona Podiatry LLC's NPI active?
- Yes — Southern Arizona Podiatry LLC's NPI (1104691773) is active in the NPPES registry as of the last update on 2024-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.