Active NPI
Raddison Veater
- Foot & Ankle Surgery Podiatrist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 12870736-0501
- Practice address
- 1250 E 3900 S Ste 420
Salt Lake City, UT 84124-1355 - Phone
- (801) 505-5277
- Fax
- (801) 505-5280
- NPI assigned
- Jun 22, 2018
- Last updated
- Jul 11, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 12870736-0501 | UT | Primary |
Addresses
Primary practice location
1250 E 3900 S Ste 420
Salt Lake City, UT 84124-1355
Mailing address
280 S Main St
Bountiful, UT 84010-6236
Phone (801) 505-0821
Other practice location 1
8822 S Redwood Rd Ste E121
West Jordan, UT 84088-5763
Phone (801) 285-7060
Other practice location 2
1840 Sun Peak Dr
Park City, UT 84098-6732
Phone (801) 505-5277
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
- Kaiser Permanente School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8822 S Redwood Rd
Suite E121
West Jordan, UT 84088-5763
Phone (801) 285-7060
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.38 of 100
- Quality
- 67.22
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 141 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 430 |
| Removal or shaving of skin growth | 228 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12870736-0501 | UT | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Podiatry Group LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Utah Podiatry Group PC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
280 S Main St
Bountiful, UT 84010
Phone (801) 505-0820
1840 Sun Peak Dr
Park City, UT 84098
Phone (435) 658-0678
1840 Sun Peak Dr
Ste A
Park City, UT 84098
1840 Sun Peak Dr
Ste A203
Park City, UT 84098
Phone (435) 256-8377
1250 E 3900 S
Ste 420
Salt Lake Cty, UT 84124
Phone (385) 715-5600
24 S 1100 E
Ste 210
Salt Lake Cty, UT 84102
Phone (801) 364-4030
8822 S Redwood Rd
Ste E121
West Jordan, UT 84088
Phone (801) 285-7060
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.
-
- Foot & Ankle Surgery Podiatrist
- Salt Lake City, UT
- NPI 1659540359
-
dba Advanced Foot And Ankle Center
- Foot & Ankle Surgery Podiatrist
- Park City, UT
- NPI 1679007819
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mark's Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1396230363",
"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": "1250 E 3900 S STE 420",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241355",
"telephone_number": "801-505-5277",
"fax_number": "801-505-5280"
}
],
"practiceLocations": [
{
"address_1": "8822 S Redwood Rd Ste E121",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840885763",
"country_code": "US",
"telephone_number": "801-285-7060",
"fax_number": "801-285-7061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1840 Sun Peak Dr",
"address_purpose": "LOCATION",
"city": "Park City",
"state": "UT",
"postal_code": "840986732",
"country_code": "US",
"telephone_number": "801-505-5277",
"fax_number": "801-505-5280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEATER",
"first_name": "RADDISON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-22",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "12870736-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.