Individual provider Active NPI

Benjamin Arthur Thomas, D.P.M.

  • Podiatrist
  • Providence, UT
National Provider Identifier
1043659055
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
9065049-0501 Issued in UT
Practice address
435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Phone
(435) 787-1023
Fax
(435) 787-1882
NPI assigned
Jun 24, 2013
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 9065049-0501 UT Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 9065049-0501 UT

Addresses

Primary practice location

435 N Gateway Dr Ste 801
Providence, UT 84332-9004

Mailing address

435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Phone (435) 787-1023

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
I20160620000284 UT Practitioner - Podiatry 9638460843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel J Huff Podiatry DPM PCGroup PAC ID 5597857029, 5 clinicians

Practice addresses (Care Compare)

435 N Gateway Dr
Suite 801
Providence, UT 84332-9004
Phone (435) 787-1023

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue64
Removal of skin lesions1-10
Removal of nail tissue967
Removal or shaving of skin growth196
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9065049-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Huff Podiatry DPM PC Podiatrist CurrentSince Jul 6, 2023 Accepting new patients
Taylor G Wright PC Podiatrist PastSince Feb 1, 2023 Accepting new patients

Locations

435 N Gateway Dr
Ste 801
Providence, UT 84332
Phone (435) 787-1023

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1043659055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N GATEWAY DR STE 801",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329004",
            "telephone_number": "435-787-1023",
            "fax_number": "435-787-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N GATEWAY DR STE 801",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329004",
            "telephone_number": "435-787-1023",
            "fax_number": "435-787-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BENJAMIN",
        "middle_name": "ARTHUR",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "9065049-0501",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "9065049-0501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

Verify at the official NPI Registry.