Individual provider Active NPI

Darren Fadel Groberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
National Provider Identifier
1396972469
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01 Issued in UT
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

Updated by the provider on Apr 24, 2018

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 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

IdentifierTypeStateIssuer
1396972469MedicaidUT

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
I20120712000742 UT Practitioner - Podiatry 6709041924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Podiatric Physicians and Surgeons Group LLCGroup PAC ID 4183946940, 8 clinicians
Utah Podiatry Group LLCGroup PAC ID 2163592379, 14 clinicians

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 Hospital, Murray, UT, CCN 460010
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as individual
Quality
53.4
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue142
Removal of skin lesions1-10
Removal of nail tissue445
Removal or shaving of skin growth289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Podiatry Group LLC Podiatrist CurrentSince Apr 1, 2026 Accepting new patients
Utah Podiatry Group PC Podiatrist CurrentSince Apr 1, 2026 Accepting new patients
Utah Podiatric Physicians and Surgeons Group LLC Podiatrist CurrentSince Jan 26, 2015 Accepting new patients
Utah Podiatric Physicians and Surgeons Group LLC Podiatrist CurrentSince Oct 1, 2014 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.