Dr. Mackenzie Luke Chesworth

Podiatrist, Foot & Ankle Surgery in Tucson, AZ. Individual provider (NPI-1).

NPI number1881256006

StatusActive

Last updated in NPPESAug 11, 2023

Details

NPI: 1881256006
Entity type: Individual (NPI-1)
Name: Dr. Mackenzie Luke Chesworth
Sex: Male
Sole proprietor: No
Enumeration date: Jul 8, 2019
Certification date: Aug 11, 2023
Last updated: Aug 11, 2023

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PODIATRY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
213ES0103X	Podiatrist, Foot & Ankle Surgery	POD-001089	AZ	Yes

Practice location

2308 N Rosemont Blvd
Tucson, AZ 85712-2139

Phone 520-886-1176

Mailing address

2308 N Rosemont Blvd
Tucson, AZ 85712-2139

Phone 520-886-1176

Other practice locations

5301 E Grant Rd
Tucson, AZ 85712-2805

Phone 520-324-5095

3100 Telegraph Ave
Oakland, CA 94609-3239

Phone 800-607-6377

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Foot & Ankle Surgery Podiatrist providers in Tucson, AZ

All 60 Foot & Ankle Surgery Podiatrist providers in Tucson · All 24,104 providers in Tucson

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