Individual provider Active NPI

James Thomas Willmore, DPM

  • Foot & Ankle Surgery Podiatrist
  • Providence, UT
National Provider Identifier
1770014516
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
11690691-0501 Issued in UT
Practice address
435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Phone
(435) 787-1023
NPI assigned
Mar 23, 2017
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 11690691-0501 UT Primary

Addresses

Primary practice location

435 N Gateway Dr Ste 801
Providence, UT 84332-9004

Mailing address

435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Phone (435) 787-1023

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
I20200512000373 UT Practitioner - Podiatry 2163853961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel J Huff Podiatry DPM PCGroup PAC ID 5597857029, 5 clinicians

Practice addresses (Care Compare)

435 N Gateway Dr
Suite 801
Providence, UT 84332-9004
Phone (435) 787-1023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as individual
Quality
92.59
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue55
Removal of skin lesions11
Removal of nail tissue671
Removal or shaving of skin growth184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Huff Podiatry DPM PC Foot & Ankle Surgery CurrentSince Apr 27, 2020 Accepting new patients

Locations

272 N Spring Creek Pkwy
Providence, UT 84332
Phone (435) 760-7313

435 N Gateway Dr
Ste 801
Providence, UT 84332
Phone (435) 787-1023

Organizations & group practices 1

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 1

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1770014516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N GATEWAY DR STE 801",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329004",
            "telephone_number": "435-787-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N GATEWAY DR STE 801",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329004",
            "telephone_number": "435-787-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMORE",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "11690691-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

Verify at the official NPI Registry.