NPIMap

Individual provider Active NPI

Daniel R Patty, DPM

  • Primary Podiatric Medicine Podiatrist
  • Orem, UT
National Provider Identifier
1437445509
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
8369997-0501 Issued in UT
Practice address
157 N 400 W # B7
Orem, UT 84057-1909
Phone
(801) 226-2421
NPI assigned
Jun 27, 2011
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 8369997-0501 UT Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 8369997-0501 UT

Addresses

Primary practice location

157 N 400 W # B7
Orem, UT 84057-1909

Mailing address

157 N 400 W # B7
Orem, UT 84057-1909
Phone (801) 226-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141125001989 UT Practitioner - Podiatry 2769600675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diabetic Foot SolutionsGroup PAC ID 5496129017, 4 clinicians

Practice addresses (Care Compare)

157 N 400
Orem, UT 84057-1909
Phone (801) 226-2421

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1133
Removal of nail tissue526
Removal or shaving of skin growth239
Skin biopsy113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8369997-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orem Podiatry Group Inc Primary Podiatric Medicine CurrentSince Oct 3, 2021 Accepting new patients
Diabetic Foot Solutions Primary Podiatric Medicine CurrentSince Dec 15, 2022 Accepting new patients

Locations

157 N 400 W
Orem, UT 84057
Phone (801) 226-2421

157 N 400 W
#B7
Orem, UT 84057
Phone (801) 226-2421

157 N 400 W
Ste B7
Orem, UT 84057
Phone (801) 226-2421

Interoperability endpoints

  • Direct secure messaging: danielpatty@faacoup-ut.direct.office.nextgen.com
  • Direct secure messaging: dr.dan@dfsl-ut.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 8

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1437445509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N 400 W # B7",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "801-226-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N 400 W # B7",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "801-226-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTY",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2024-05-14",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "UT",
            "license": "8369997-0501",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "8369997-0501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.