Individual provider Active NPI

Clay Bryant Shumway, DPM

  • Podiatrist
  • Boca Raton, FL
National Provider Identifier
1003346545
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4693 Issued in FL
Practice address
1905 Clint Moore Rd
Boca Raton, FL 33496-2658
Phone
(407) 960-1717
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD-001126 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X 11926746-0501 UT
Podiatrist 213E00000X PO4693 FL Primary

Addresses

Primary practice location

1905 Clint Moore Rd
Boca Raton, FL 33496-2658

Mailing address

20642 N 16TH PL
Phoenix, AZ 85024-4355
Phone (215) 990-5975

Other practice location 1

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (215) 990-5975

Other practice location 2

3584 W 9000 S Ste 301
West Jordan, UT 84088-5711
Phone (801) 255-8633

Other practice location 3

7227 E Baseline Rd Ste 126
Mesa, AZ 85209-5006
Phone (480) 868-9650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607002732 UT Practitioner - Podiatry 2466852819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1320 Terrace View Dr
Prescott, AZ 86301-1553

2970 N Litchfield Rd
Suite 120
Goodyear, AZ 85395-7831

Merit-based Incentive Payment System (MIPS)

Final score
97.81 of 100Reported as group
Quality
95.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue790
Removal or shaving of skin growth554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4693FLMDPodiatrist
11926746-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Institute of Utah LLC Podiatrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

3584 W 9000 S
Ste 301
West Jordan, UT 84088
Phone (801) 255-8633

Interoperability endpoints

  • Direct secure messaging: clay.shumway@57560418353156.direct.elationemr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1003346545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20642 N 16TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244355",
            "telephone_number": "215-990-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "407-960-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "215-990-5975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3584 W 9000 S Ste 301",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840885711",
            "country_code": "US",
            "telephone_number": "801-255-8633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7227 E Baseline Rd Ste 126",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852095006",
            "country_code": "US",
            "telephone_number": "480-868-9650",
            "fax_number": "480-834-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "CLAY",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD-001126",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "11926746-0501",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.