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

Travis Steven Jensen, DPM

Individual provider Podiatrist · NPI 1659366342

Travis Steven Jensen, DPM is a Podiatry in Surprise, Arizona. Graduated from William M. Scholl College of Podiatric Medicine in 2002, 24 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
24
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
AZ, IL
In the registry since
2005
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

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone: (623) 584-5626
Fax: (623) 584-8998
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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 665 (AZ)
Podiatrist Taxonomy 213E00000X · Licence 16005134 (IL)

Record details

NPI number1659366342
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESNovember 3, 2011
Mailing address12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9021

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 2002 (24 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Surprise