Paradise Valley Foot & Ankle PLLC
NPI 1710234422 · Podiatrist · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paradise Valley Foot & Ankle PLLC is a Podiatrist organization in Phoenix, AZ (NPI 1710234422).
Provider details
- NPI number
- 1710234422
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kyle Vaughn, DPM(480) 705-7300
- License
- 726 (AZ)
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 3624 W Anthem Way Ste C116Anthem, AZ 85086-0457Phone: (480) 705-9920Fax: (888) 872-0466
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Frequently asked questions
- What is Paradise Valley Foot & Ankle PLLC's NPI number?
- Paradise Valley Foot & Ankle PLLC's National Provider Identifier (NPI) is 1710234422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paradise Valley Foot & Ankle PLLC?
- Paradise Valley Foot & Ankle PLLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Paradise Valley Foot & Ankle PLLC located?
- Paradise Valley Foot & Ankle PLLC's practice location on file with NPPES is 4611 E Shea Blvd Ste 160, Phoenix, AZ 85028-4257.
- What is Paradise Valley Foot & Ankle PLLC's phone number?
- The practice phone number listed in the NPPES registry for Paradise Valley Foot & Ankle PLLC is (480) 705-9920.
- Does Paradise Valley Foot & Ankle PLLC accept Medicare?
- Paradise Valley Foot & Ankle PLLC 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 Paradise Valley Foot & Ankle PLLC?
- The authorized official listed on Paradise Valley Foot & Ankle PLLC's NPPES record is Kyle Vaughn, DPM. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paradise Valley Foot & Ankle PLLC's NPI active?
- Yes — Paradise Valley Foot & Ankle PLLC's NPI (1710234422) is active in the NPPES registry as of the last update on 2020-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.