Active NPI
Clay Bryant Shumway, DPM
- Podiatrist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO4693
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 95.63
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 790 |
| Removal or shaving of skin growth | 554 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4693 | FL | MD | Podiatrist |
| 11926746-0501 | UT | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Institute of Utah LLC | Podiatrist | Current | Accepting new patients |
Locations
3584 W 9000 S
Ste 301
West Jordan, UT 84088
Phone (801) 255-8633
Interoperability endpoints
- clay.shumway@57560418353156.direct.elationemr.com
- 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.
-
- Foot & Ankle Surgery Podiatrist
- West Jordan, UT
- NPI 1821514191
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.