Salt Lake City Podiatry – Podiatrist, NPI 1437116266
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Salt Lake City Podiatry
PO BOX 932
SANDY, UT 840910932
Phone: (801) 553-9568
Fax: (801) 553-9562
Type: Mailing
PO BOX 404
RIVERTON, UT 840650404
Phone: (801) 619-2168
Fax: (877) 428-7520
Type: Mailing
1220 E 3900 S STE 4D
SALT LAKE CITY, UT 841241383
Phone: (801) 269-9939
Fax: (801) 269-9949
Type: Location
1250, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
#420
SALT LAKE CITY, UT 841241348
Phone: (801) 269-9939
Fax: (801) 269-9949
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (584 days ago).
Enrollment records
2
Earliest due date
2024-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031229000982 | O | Clinic/Group Practice | UT | 2024-10-31 |
| O20100930098201 | O | Physician - Podiatry | UT | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84091)
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