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

Jordan K Sisto, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376031849

Jordan K Sisto, DPM is a Podiatry in Mesa, Arizona. Graduated from William M. Scholl College of Podiatric Medicine in 2018, 8 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
AZ
In the registry since
2018
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

1520 S Dobson Rd Ste 312
Mesa, AZ 85202-4700
Phone: (480) 844-8218
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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 001051 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376031849
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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