Individual provider Active NPI

Todd Joseph Jaramillo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Provo, UT
National Provider Identifier
1215315817
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
10683749-0501 Issued in UT
Practice address
1355 N University Ave Ste 125
Provo, UT 84604-2722
Phone
(801) 374-3010
Fax
(801) 377-2426
NPI assigned
May 14, 2015
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 10683749-0501 UT Primary

Addresses

Primary practice location

1355 N University Ave Ste 125
Provo, UT 84604-2722

Mailing address

280 S Main St
Bountiful, UT 84010-6236
Phone (801) 505-0821

Other practice location 1

3355 N University Ave Ste 175
Provo, UT 84604
Phone (801) 377-5649

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
I20180605001657 UT Practitioner - Podiatry 5395054464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garr Foot and Ankle, PLLCGroup PAC ID 4284949470, 2 clinicians

Practice addresses (Care Compare)

1355 N University Ave
Suite 125
Provo, UT 84604-2722
Phone (801) 374-3010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of skin lesions1-10
Removal of nail tissue428
Removal or shaving of skin growth409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10683749-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Garr Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2023 Accepting new patients
Summit Medical Care CurrentSince Mar 1, 2022 Accepting new patients

Locations

280 S Main St
Bountiful, UT 84010
Phone (801) 505-0820

95 White Sage Ave
Delta, UT 84624
Phone (435) 864-2551

674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

1678 Bonanza Dr
Park City, UT 84060
Phone (435) 649-1017

1355 N University Ave
Ste 125
Provo, UT 84604
Phone (801) 266-3095

3355 N University Ave
Ste 175
Provo, UT 84604
Phone (801) 377-5649

777 N 500 W
Ste 103
Provo, UT 84601
Phone (801) 375-6677

12523 S Creek Meadow Rd
Ste 105
Riverton, UT 84065
Phone (801) 337-5855

4019 W 12600 S
Ste 120
Riverton, UT 84096
Phone (801) 273-0100

9980 S 300 W
Ste 310
Sandy, UT 84070
Phone 8012536886300

2019 E Riverside Dr
Ste A101
St George, UT 84790
Phone (435) 656-1699

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.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1215315817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N UNIVERSITY AVE STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042722",
            "telephone_number": "801-374-3010",
            "fax_number": "801-377-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 N University Ave Ste 175",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "84604",
            "country_code": "US",
            "telephone_number": "801-377-5649",
            "fax_number": "801-377-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "TODD",
        "middle_name": "JOSEPH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "10683749-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.