Active NPI
Jason W Rockwood, DPM
- Foot & Ankle Surgery Podiatrist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 9704032-0501
- Practice address
- 3152 N University Ave
Provo, UT 84604-4745 - Phone
- (801) 356-0233
- NPI assigned
- Nov 28, 2006
- Last updated
- Oct 16, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 323 | NM | |
| Podiatrist | 213E00000X | P-264 | ID | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 9704032-0501 | UT | Primary |
Addresses
Primary practice location
3152 N University Ave
Provo, UT 84604-4745
Mailing address
1844 W River Birch Rd
Mapleton, UT 84664-5669
Phone (505) 660-4899
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
- California School of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
596 W 750
Suite 200
Bountiful, UT 84010-7281
Phone (801) 292-4425
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 67.47
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-264 | ID | MD | Podiatrist |
| 323 | NM | MD | Podiatrist |
| 9704032-0501 | UT | MD | Foot & Ankle Surgery Podiatrist |
| 166 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Center LLC | Current | Accepting new patients | |
| Las Vegas Primary Care, Inc | Past | Accepting new patients | |
| Ploot P.C. | Podiatrist | Past | Accepting new patients |
| Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | Past | Accepting new patients |
| Shahzad Ahmad PLLC | Past | Accepting new patients |
Locations
3152 N University Ave
Ste 120
Provo, UT 84604
Phone (801) 375-2177
Organizations & group practices 6
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.
-
dba Foot & Ankle Specialists of Utah
- Foot & Ankle Surgery Podiatrist
- Bountiful, UT
- NPI 1639200215
-
dba Blue Rock Medical Center
- Multi-Specialty Clinic/Center
- Provo, UT
- NPI 1649567504
-
dba Endocrinology Center of Utah
- Endocrinology, Diabetes & Metabolism Physician
- Salt Lake City, UT
- NPI 1992298970
-
dba Utah Musculoskeletal Specialists
- Podiatrist
- Salt Lake City, UT
- NPI 1720795586
-
- Family Medicine Physician
- Las Vegas, NM
- NPI 1003053679
-
dba Glacier Foot and Ankle Associates
- Podiatric Clinic/Center
- Kalispell, MT
- NPI 1427109503
Podiatrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1801962121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 W RIVER BIRCH RD",
"city": "MAPLETON",
"state": "UT",
"postal_code": "846645669",
"telephone_number": "505-660-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3152 N UNIVERSITY AVE",
"city": "PROVO",
"state": "UT",
"postal_code": "846044745",
"telephone_number": "801-356-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWOOD",
"first_name": "JASON",
"middle_name": "W",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NM",
"license": "323",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ID",
"license": "P-264",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "9704032-0501",
"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 Oct 16, 2024; 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.