Individual provider Active NPI

Jason W Rockwood, DPM

  • Foot & Ankle Surgery Podiatrist
  • Provo, UT
National Provider Identifier
1801962121
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
9704032-0501 Issued in UT
Practice address
3152 N University Ave
Provo, UT 84604-4745
Phone
(801) 356-0233
NPI assigned
Nov 28, 2006
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031001794 UT Practitioner - Podiatry 0547274268 Reassigns benefits to 2 organizations

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
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

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 100Reported as group
Quality
67.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P-264IDMDPodiatrist
323NMMDPodiatrist
9704032-0501UTMDFoot & Ankle Surgery Podiatrist
166MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Center LLC CurrentSince Sep 16, 2024 Accepting new patients
Las Vegas Primary Care, Inc Past Accepting new patients
Ploot P.C. Podiatrist PastSince Dec 16, 2005 Accepting new patients
Utah Podiatric Physicians and Surgeons Group LLC Podiatrist Past Accepting new patients
Shahzad Ahmad PLLC PastSince Jun 15, 2018 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.

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

Verify at the official NPI Registry.