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

Dr. Kyle Vaughn, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1467618850

Dr. Kyle Vaughn, DPM is a Podiatry in Phoenix, Arizona. Qualified in 2008, 18 years ago. Practices with Paradise Valley Foot and Ankle PLLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
18
Licensed in
AZ
In the registry since
2008
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

4611 E Shea Blvd Ste 160
Phoenix, AZ 85028-4254
Phone: (480) 705-9920
Fax: (888) 872-0466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3624 W Anthem Way Ste C116, Anthem, AZ 85086-0457 — (480) 705-9920

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0726 (AZ)

Record details

NPI number1467618850
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedAugust 5, 2008
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address4611 E Shea Blvd, Suite 160, Phoenix, AZ 85028-4254

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Paradise Valley Foot And Ankle Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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