Jesse Riley DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

JESSE RILEY DPM PC

Doing business as

Elevated Foot and Ankle
Summit Foot And Ankle

Practice address

41 N 400 W Ste a
Payson, UT 84651-2021

Phone

(801) 218-3338

Fax

(801) 658-5351

NPI assigned

Sep 5, 2019

Last updated

Jul 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse Ellsworth Riley, DPMNPI 1548532583

Title

Owner

Phone

(801) 218-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Elevated Foot and Ankle Doing business as
• Summit Foot And Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jesse Ellsworth Riley, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Payson, UT
  • NPI 1548532583

  0941531727

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Ellsworth Riley, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Payson, UT
  • NPI 1548532583
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1417506213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N 400 W STE A",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512021",
            "telephone_number": "801-218-3338",
            "fax_number": "801-658-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N 400 W STE A",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512021",
            "telephone_number": "801-218-3338",
            "fax_number": "801-658-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "656 N Main St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Nephi",
            "state": "UT",
            "postal_code": "846481124",
            "country_code": "US",
            "telephone_number": "801-218-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESSE RILEY DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "ELLSWORTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-218-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "9037769-0501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Foot And Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Scott James
• Michele R Jeffery, DEM
• Adam Michael Jensen, D.O.
• Tye Brian Jensen, PA
• Tarryn Jenson
• Brent Arthur Johnson, DDS
• Lagrand Johnson, D.O.
• Brent Elwood Jones, MD
• Ethan Ryan Jones, PHD LMFT
• Katelyn Jones

• Foot & Ankle Surgery Podiatrist in Payson, UT
• Providers in Payson, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.