TRAVIS STEVEN JENSEN DPM NPI 1659366342

NPI Information

  • NPI: 1659366342
  • Provider Name: TRAVIS STEVEN JENSEN, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12361 W BOLA DR
    STE 100
    SURPRISE, AZ
    ZIP 85378
  • Phone: (623) 584-5626

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NPI Details

Travis Steven Jensen, DPM is a foot and ankle surgery podiatrist in Surprise, AZ with 24 years of experience. Travis Steven Jensen, DPM NPI is 1659366342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2002

The provider's business location address is:

12361 W BOLA DR
STE 100
SURPRISE, AZ
ZIP 85378-021
Phone: (623) 584-5626
Fax: (623) 584-8998

The NPI 1659366342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Correction of toe joint deformity (HCPCS:28285)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/19/2005 and was last updated on 11/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist16005134ILLINOISNo
2213ES0103XPodiatristFoot & Ankle Surgery665ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1387230MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
20321470001MEDICARE NSCARIZONA
31659366342OTHERARIZONABC/BS
496004401MEDICAIDILLINOIS
560010789OTHERILLINOISBCBS
6118419OTHERARIZONARAILROAD MEDICARE
70581740001OTHERILLINOISDMERC
8V04910MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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