Individual provider

Jessica Randolph, DPM

Foot & Ankle Surgery Podiatrist Podiatrist Medicare enrolled

Jessica Randolph, DPM is a provider specialising in Foot & Ankle Surgery Podiatrist in Glendale, AZ, registered under NPI 1053788000. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 6677 W THUNDERBIRD RD STE J171, Glendale, AZ 85306. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6677 W THUNDERBIRD RD STE J171, Glendale, AZ 85306 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
POD-000891 AZ Foot & Ankle Surgery Podiatrist primary
POD-000891 AZ Podiatrist

This provider holds licence POD-000891 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Podiatry
PAC ID
9133477581
Enrollment ID
I20180801003328

Medicare enrolment is recorded as approved under the provider type Practitioner - Podiatry. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Foot & Ankle Surgery covers

Definition to come... NUCC Health Care Provider Taxonomy, code 213ES0103X
Podiatric Medicine & Surgery Service Providers Podiatrist Foot & Ankle Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
213ES0103X Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery POD-000891 AZ primary
213E00000X Podiatrist POD-000891 AZ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053788000 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 25, 2015
Last updatedApr 15, 2025
StatusActive
Sole proprietorNo
CredentialDPM
Practice address 6677 W THUNDERBIRD RD STE J171
Glendale, AZ 85306
(623) 226-5442
Mailing address 6635 W HAPPY VALLEY RD STE A104-276
Glendale, AZ 85310
This record was updated on Apr 15, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1053788000 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 7 8 8 0 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 5 8 7 0 0

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053788000?
NPI 1053788000 is the National Provider Identifier assigned to Jessica Randolph, DPM in Glendale, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Foot & Ankle Surgery cover?
Definition to come...
How do I contact Jessica Randolph, DPM?
The phone number on file with NPPES is (623) 226-5442, last updated Apr 15, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jessica Randolph, DPM accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053788000 a valid number?
Yes. 1053788000 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.