Individual provider Active NPI

Raddison Veater

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
National Provider Identifier
1396230363
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
12870736-0501 Issued in UT
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721003461 UT Practitioner - Podiatry 8123409109 Reassigns benefits to 1 organization

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
Utah Podiatry Group LLCGroup PAC ID 2163592379, 14 clinicians

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 100Reported as group
Quality
67.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue141
Removal of skin lesions1-10
Removal of nail tissue430
Removal or shaving of skin growth228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12870736-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Podiatry Group LLC Foot & Ankle Surgery CurrentSince Jul 11, 2022 Accepting new patients
Utah Podiatry Group PC Foot & Ankle Surgery CurrentSince Jul 11, 2022 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.

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": "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

Verify at the official NPI Registry.