Active NPI
Darren Fadel Groberg, DPM
- Foot & Ankle Surgery Podiatrist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01
- Practice address
- 430 N 400 W
Salt Lake City, UT 84103-1229 - Phone
- (801) 532-1822
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01 | UT | Primary |
Addresses
Primary practice location
430 N 400 W
Salt Lake City, UT 84103-1229
Mailing address
430 N 400 W
Salt Lake City, UT 84103-1229
Phone (018) 532-1822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396972469 | Medicaid | UT |
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
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1561 W 7000
Suite 201
West Jordan, UT 84084-3556
Phone (801) 569-2696
24 S 1100
Suite 210
Salt Lake City, UT 84102-1580
Phone (801) 505-5277
430 N 400
Salt Lake City, UT 84103-1229
Phone (801) 532-1822
Hospital & facility affiliations
- Intermountain Medical Center
- St Mark'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.77 of 100
- Quality
- 53.4
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 142 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 445 |
| Removal or shaving of skin growth | 289 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01 | UT | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Podiatry Group LLC | Podiatrist | Current | Accepting new patients |
| Utah Podiatry Group PC | Podiatrist | Current | Accepting new patients |
| Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | Current | Accepting new patients |
| Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | Current | Accepting new patients |
Locations
999 E Murray Holladay Rd
Millcreek, UT 84117
Phone (801) 268-2584
24 S 1100 E
Ste 210
Salt Lake Cty, UT 84102
Phone (385) 286-4747
144 S 7th E
Salt Lake Cty, UT 84102
Phone (801) 532-1822
1561 W 7000 S
Ste 201
West Jordan, UT 84084
Phone (435) 671-4726
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Salt Lake City, UT
- NPI 1174942460
-
- Foot & Ankle Surgery Podiatrist
- Salt Lake City, UT
- NPI 1659540359
-
- Podiatrist
- Salt Lake City, UT
- NPI 1720795586
-
- Foot & Ankle Surgery Podiatrist
- South Ogden, UT
- NPI 1225796790
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- 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": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1396972469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 N 400 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841031229",
"telephone_number": "018-532-1822",
"fax_number": "801-532-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N 400 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841031229",
"telephone_number": "801-532-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROBERG",
"first_name": "DARREN",
"middle_name": "FADEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396972469",
"state": "UT"
}
],
"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 Apr 24, 2018; 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.