Utah Podiatry Group LLC
NPI 1205569100 · Foot & Ankle Surgery Podiatrist · Park City, UT
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Utah Podiatry Group LLC is a Foot & Ankle Surgery Podiatrist organization in Park City, UT (NPI 1205569100).
Provider details
- NPI number
- 1205569100
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Utah Podiatry Group LLC
- Organization subpart
- Yes
- Authorized official
- Scott Clark, DPM(801) 505-5277
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Other names (DBA / former)
- Former legal business name
- Advanced Foot and Ankle Center
- Former legal business name
- Advanced Foot and Ankle Center
Registry dates
- Enumerated
- 2022-07-07
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Frequently asked questions
- What is Utah Podiatry Group LLC's NPI number?
- Utah Podiatry Group LLC's National Provider Identifier (NPI) is 1205569100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Utah Podiatry Group LLC?
- Utah Podiatry Group LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Utah Podiatry Group LLC located?
- Utah Podiatry Group LLC's practice location on file with NPPES is 1840 Sun Peak Dr, Park City, UT 84098-6732.
- What is Utah Podiatry Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Utah Podiatry Group LLC is (801) 505-5277.
- Does Utah Podiatry Group LLC accept Medicare?
- Utah Podiatry Group LLC 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 Utah Podiatry Group LLC?
- The authorized official listed on Utah Podiatry Group LLC's NPPES record is Scott Clark, DPM. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Utah Podiatry Group LLC's NPI active?
- Yes — Utah Podiatry Group LLC's NPI (1205569100) is active in the NPPES registry as of the last update on 2025-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.