Individual provider Active NPI

Mark F Rogers, D.P.M.

  • Podiatrist
  • American Fork, UT
National Provider Identifier
1619958345
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
102652-0501 Issued in UT
Practice address
1248 E 90 N Ste 101
American Fork, UT 84003-2954
Phone
(801) 756-4200
Fax
(801) 756-8252
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 102652-0501 UT Primary

Addresses

Primary practice location

1248 E 90 N Ste 101
American Fork, UT 84003-2954

Mailing address

1248 E 90 N Ste 101
American Fork, UT 84003-2954
Phone (801) 756-4200

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
I20051222000043 UT Practitioner - Podiatry 0749202455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogers Foot and Ankle Institute IncGroup PAC ID 7416275482, 4 clinicians

Practice addresses (Care Compare)

1248 E 90
Suite 101
American Fork, UT 84003-2954
Phone (801) 756-4200

1248 E 90 N
Suite 101
American Fork, UT 84003-2954

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of nail tissue23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Foot & Ankle Institute Inc Podiatrist CurrentSince Oct 1, 2011 Accepting new patients
State of Utah CurrentSince Dec 31, 1979 Accepting new patients
Utah State Developmental Center CurrentSince Dec 31, 1979 Accepting new patients
Central Utah Foot Clinic, LLC Podiatrist CurrentSince Apr 1, 2008 Accepting new patients

Locations

1248 E 90 N
Ste 101
American Fork, UT 84003
Phone (801) 756-4200

895 N 900 E
American Fork, UT 84003
Phone (801) 756-6022

150 W 800 N
Provo, UT 84601
Phone (801) 375-5353

62 E Thrive Dr
Ste 310
Saratoga Springs, UT 84045
Phone (801) 756-4200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHEEAD

Organizations & group practices 5

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 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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1619958345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 101",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032954",
            "telephone_number": "801-756-4200",
            "fax_number": "801-756-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 101",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032954",
            "telephone_number": "801-756-4200",
            "fax_number": "801-756-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "102652-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.