KELLEY ANN GILLROY (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1104044098

KELLEY ANN GILLROY (D.P.M.) is a healthcare provider. based in Phoenix, Arizona. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 0677 (AZ). The NPI Number for KELLEY ANN GILLROY (D.P.M.) is 1104044098

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY ANN GILLROY (D.P.M.)
NPI
1104044098
Phone
(623) 238-4022
Address
1540 E SAN MIGUEL AVE
Enumeration Date
23 April 2007
Last Update Date
26 February 2021

Doctor Profile

Medical School Name
COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
7810061389
Professional Enrollment ID
I20150723006813
Address ID
WA985065086OL165XXAXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

472 PODIATRY in AZ

Provider Addresses for KELLEY ANN GILLROY (D.P.M.)

  • 1540 E SAN MIGUEL AVE

    PHOENIX, AZ 850142424

    Phone: (623) 238-4022

    Type: Mailing

  • 19389 N 59TH AVE

    GLENDALE, AZ 853086500

    Phone: (623) 572-6170

    Fax: (623) 537-6161

    Type: Location

  • 165 LILLY RD NE STE A

    OLYMPIA, WA 985065086

    Phone: (360) 438-9092

    Fax: (360) 438-3906

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $474.

Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Smith+Nephew, Inc. ($150).

Total Amount

$474

General + Research + Ownership

Payments

10

Total payment records

General Amount

$474

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150723006813IPodiatryWATBD
O20150910002772OPhysician - PodiatryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails17565$0
J1100Injection, dexamethasone sodium phosphate, 1 mg13833$0
11056Removal of noncancer thickened skin growth, 2-4 growths11056$0
99213Established patient office or other outpatient visit, 20-29 minutes10680$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10129$0
View full utilization report →

Insurance plans in this area (ZIP 85014)

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Provider's Procedures

KELLEY ANN GILLROY (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYAZ11720Removal of tissue from 1 to 5 finger or toe nails15062

Reviews

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Frequently asked questions

What NPI should I save for KELLEY ANN GILLROY (D.P.M.)?
Save NPI 1104044098 if you need a stable reference for KELLEY ANN GILLROY (D.P.M.).
Is KELLEY ANN GILLROY (D.P.M.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KELLEY ANN GILLROY (D.P.M.)'s specialty in plain language?
Clinically, the directory lists KELLEY ANN GILLROY (D.P.M.) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where is KELLEY ANN GILLROY (D.P.M.)'s primary listing?
We display Phoenix, Arizona because that is what the record indicates for KELLEY ANN GILLROY (D.P.M.).
What if Phoenix, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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