Wasatch Podiatry PLLC
NPI 1114224805 · Podiatrist · Ogden, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wasatch Podiatry PLLC is a Podiatrist organization in Ogden, UT (NPI 1114224805).
Provider details
- NPI number
- 1114224805
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Susan Agres, Owner(801) 430-8406
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Podiatric Clinic/Center261QP1100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 81 E Center StKaysville, UT 84037-1920Phone: (801) 430-8406
- 5275 Adams Ave Pkwy Ste aOgden, UT 84405-7238Phone: (801) 430-8406Fax: (801) 393-6092
Registry dates
- Enumerated
- 2011-02-16
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Frequently asked questions
- What is Wasatch Podiatry PLLC's NPI number?
- Wasatch Podiatry PLLC's National Provider Identifier (NPI) is 1114224805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wasatch Podiatry PLLC?
- Wasatch Podiatry PLLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Wasatch Podiatry PLLC located?
- Wasatch Podiatry PLLC's practice location on file with NPPES is 1679 Shadow Valley Dr, Ogden, UT 84403-4626.
- What is Wasatch Podiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wasatch Podiatry PLLC is (801) 430-8406.
- Does Wasatch Podiatry PLLC accept Medicare?
- Wasatch Podiatry PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wasatch Podiatry PLLC?
- The authorized official listed on Wasatch Podiatry PLLC's NPPES record is Susan Agres, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wasatch Podiatry PLLC's NPI active?
- Yes — Wasatch Podiatry PLLC's NPI (1114224805) is active in the NPPES registry as of the last update on 2026-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.