Individual provider Active NPI

Ryan Taylor Kitterman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Scottsboro, AL
National Provider Identifier
1174811442
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
403 Issued in AL
Practice address
1601 Veterans Dr Ste 112
Scottsboro, AL 35769-3743
Phone
(256) 292-7511
Fax
(855) 576-3609
NPI assigned
Jul 20, 2011
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 9029034-0501 UT
Foot & Ankle Surgery Podiatrist 213ES0103X 403 AL Primary

Addresses

Primary practice location

1601 Veterans Dr Ste 112
Scottsboro, AL 35769-3743

Mailing address

1601 Veterans Dr Ste 112
Scottsboro, AL 35769-3743
Phone (256) 292-7511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140807001199 UT Practitioner - Podiatry 1951528413 Reassigns benefits to 1 organization
I20250124001399 AL Practitioner - Podiatry 1951528413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Veterans Dr
Suite 112
Scottsboro, AL 35769-3716
Phone (801) 889-5324

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue263
Removal of nail tissue312
Removal or shaving of skin growth191
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9029034-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Podiatric Physicians and Surgeons Group LLC Foot & Ankle Surgery CurrentSince Sep 10, 2023 Accepting new patients
Rebel Foot & Ankle Foot & Ankle Surgery CurrentSince Jan 1, 2025 Accepting new patients
Utah Podiatric Physicians and Surgeons Group LLC Foot & Ankle Surgery CurrentSince Sep 10, 2023 Accepting new patients

Locations

1601 Veterans Dr
Ste 112
Scottsboro, AL 35769
Phone (256) 571-8750

3435 E Pony Express Pkwy
Ste 140
Eagle Mtn, UT 84005
Phone (801) 789-2444

6321 S Redwood Rd
Ste 102
Taylorsville, UT 84123
Phone (801) 685-7246

1561 W 7000 S
Ste 201
West Jordan, UT 84084
Phone (435) 671-4726

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGAHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGAHDD/Endpoint/JGAHDD

Organizations & group practices 3

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1174811442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 VETERANS DR STE 112",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357693743",
            "telephone_number": "256-292-7511",
            "fax_number": "855-576-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 VETERANS DR STE 112",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357693743",
            "telephone_number": "256-292-7511",
            "fax_number": "855-576-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTERMAN",
        "first_name": "RYAN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "9029034-0501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.