Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Pettengill, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1215046974

Matthew Pettengill, DPM is a Podiatry in Phoenix, Arizona. Qualified in 1997, 29 years ago. Practices with Dhhs Phs IHS Phoenix Area, a 24-clinician group and accepts Medicare assignment. Licensed in Maine and Pennsylvania.

Years since qualifying
29
Licensed in
ME, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 200-5383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC004785L (PA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence POD1049 (ME)

Record details

NPI number1215046974
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 29, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Dhhs Phs Ihs Phoenix Area — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Phoenix