Ridge Medical Group PA
NPI 1922736842 · Foot & Ankle Surgery Podiatrist · Ammon, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ridge Medical Group PA is a Foot & Ankle Surgery Podiatrist organization in Ammon, ID (NPI 1922736842).
Provider details
- NPI number
- 1922736842
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Braden Jenkins, President(208) 881-2100
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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)
- Doing business as
- The Ridge Foot and Ankle Center
- Doing business as
- The Ridge Foot and Ankle Center
Registry dates
- Enumerated
- 2022-08-09
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Frequently asked questions
- What is Ridge Medical Group PA's NPI number?
- Ridge Medical Group PA's National Provider Identifier (NPI) is 1922736842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ridge Medical Group PA?
- Ridge Medical Group PA is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Ridge Medical Group PA located?
- Ridge Medical Group PA's practice location on file with NPPES is 2677 E 17th St Ste 200, Ammon, ID 83406-6612.
- What is Ridge Medical Group PA's phone number?
- The practice phone number listed in the NPPES registry for Ridge Medical Group PA is (208) 741-3660.
- Does Ridge Medical Group PA accept Medicare?
- Ridge Medical Group PA 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 Ridge Medical Group PA?
- The authorized official listed on Ridge Medical Group PA's NPPES record is Braden Jenkins, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ridge Medical Group PA's NPI active?
- Yes — Ridge Medical Group PA's NPI (1922736842) is active in the NPPES registry as of the last update on 2022-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.