Active NPI
Thomas G Rogers, D.P.M.
- Podiatrist
- Provo, UT
National Provider Identifier
1720069446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 103496-0501
- Practice address
- 150 W 800 N
Provo, UT 84601-1624 - Phone
- (801) 375-5353
- Fax
- (801) 375-5395
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 103496-0501 | UT | Primary |
Addresses
Primary practice location
150 W 800 N
Provo, UT 84601-1624
Mailing address
150 W 800 N
Provo, UT 84601-1624
Phone (801) 375-5353
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, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 W 800
Provo, UT 84601-1624
Phone (801) 375-5353
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103496-0501 | UT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Utah Foot Clinic, LLC | Podiatrist | Current | Accepting new patients |
| Utah State Developmental Center | Current | Accepting new patients | |
| State of Utah | Current | Accepting new patients |
Locations
895 N 900 E
American Fork, UT 84003
Phone (801) 756-6022
150 W 800 N
Provo, UT 84601
Phone (801) 375-5353
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Provo, UT
- NPI 1881729507
-
- Psychiatric Hospital
- Provo, UT
- NPI 1811978620
-
- Mental Illness Intermediate Care Facility
- American Fork, UT
- NPI 1689674301
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": "1340064000000",
"number": "1720069446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W 800 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846011624",
"telephone_number": "801-375-5353",
"fax_number": "801-375-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W 800 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846011624",
"telephone_number": "801-375-5353",
"fax_number": "801-375-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "THOMAS",
"middle_name": "G",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "103496-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.