Individual provider Active NPI

Matthew Vernon Stoddard, DPM

  • Foot & Ankle Surgery Podiatrist
  • Spanish Fork, UT
National Provider Identifier
1285023556
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
10805840-0501 Issued in UT
Practice address
743 N Main St
Spanish Fork, UT 84660-1146
Phone
(385) 225-0961
Fax
(385) 448-5058
NPI assigned
Jan 9, 2015
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 10805840-0501 UT Primary

Addresses

Primary practice location

743 N Main St
Spanish Fork, UT 84660-1146

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
10805840-0501OtherUTMEDICAL LICENSE

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
I20180607002769 UT Practitioner - Podiatry 3476878463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stoddard Foot and AnkleGroup PAC ID 6103292487, 2 clinicians

Practice addresses (Care Compare)

743 N Main St
Spanish Fork, UT 84660-1146
Phone (385) 225-0961

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of skin lesions1-10
Removal of nail tissue154
Removal or shaving of skin growth75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10805840-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joshi Womencare, PC CurrentSince Jul 25, 2019 Accepting new patients
Stoddard Foot & Ankle Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

2438 Brodhead Rd
Aliquippa, PA 15001
Phone (412) 973-3368

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

336 W 100 S
Spanish Fork, UT 84660
Phone (385) 203-0246

743 N Main St
Spanish Fork, UT 84660
Phone (385) 225-0961

376 E 400 S
Springville, UT 84663
Phone (801) 491-9355

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": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1285023556",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601146",
            "telephone_number": "385-225-0961",
            "fax_number": "385-448-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "MATTHEW",
        "middle_name": "VERNON",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "10805840-0501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10805840-0501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.