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INNOVATION MEDICAL GROUP PC
NPI 1235526682
Podiatrist in Salt Lake City, UT

Active since April 23, 2015CLIA 06D2235819 · Accreditation
6405 S 3000 E STE 300, SALT LAKE CITY, UT 84121(801) 266-3113(801) 266-5633 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 26, 2026, Feb 6, 2024, Oct 12, 2023 and 13 more (16 updates tracked since 2019).

About Innovation Medical Group Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATION MEDICAL GROUP PC (NPI 1235526682), doing business as Innovation Medical Group, is a healthcare organization registered as a podiatrist in Salt Lake City, Utah and active in the NPI registry since April 2015. The organization holds an CLIA Accreditation certificate valid through March 18, 2028, maintains 18 additional practice locations, and lists Taylor G Wright, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235526682
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameINNOVATION MEDICAL GROUP PC
Location Address6405 S 3000 E STE 300Salt Lake City, UT 84121-6977
Mailing Address6405 S 3000 E Ste 300Salt Lake City, UT 84121-6977 · (801) 266-3113 · Fax (801) 266-5633
Phone(801) 266-3113
Fax(801) 266-5633
Organization SubpartNo
Authorized OfficialTaylor G WrightCeo · (801) 266-3113
Enumeration DateApril 23, 2015
Last NPPES UpdateJuly 26, 202616 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
✔ NPI 1235526682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedRadiologic Technologist · Vascular-Interventional TechnologyTaxonomy 2471V0106X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
6405 S 3000 E STE 300, Salt Lake City, UT 84121
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Other Names 1

Doing Business AsInnovation Medical Group

Secondary Practice Locations 18

Location 13360 S 15th EIdaho Falls, ID 83404-8321 · Phone (208) 932-7024
Location 26405 S 3000 E Ste 201Salt Lake City, UT 84121-6990 · Phone (801) 266-3113
Location 327B Talisman Dr Unit 2Pagosa Springs, CO 81147-7914 · Phone (970) 903-9853 · Fax (970) 616-6745
Location 42095 N Dolores RdCortez, CO 81321-8924 · Phone (970) 564-8086 · Fax (970) 564-8087
Location 51125 S Camino Del Rio Ste 300BDurango, CO 81303-6886 · Phone (970) 659-9850 · Fax (970) 579-6750
Location 6745 S Progress Ave Ste 150Meridian, ID 83642-5610 · Phone (208) 813-1958 · Fax (208) 600-6905
Location 7406 S Park AveAztec, NM 87410 · Phone (505) 334-2852
Location 81315 Snowden StSilverton, CO 81433-5108 · Phone (970) 903-9853 · Fax (970) 616-6745
Location 94760 N Butler Ave Ste B2Farmington, NM 87401-0816 · Phone (505) 324-6300 · Fax (505) 327-2218
Location 103152 N University Ave, Suite 240Provo, UT 84604 · Phone (801) 900-5655
Location 111900 E Historic Highway 66 Ste 1Gallup, NM 87301-4883 · Phone (505) 324-6300 · Fax (505) 327-2218
Location 1216 E 300 SMonticello, UT 84535 · Phone (435) 270-0271 · Fax (435) 270-0273
Location 13965 E 700 S Ste 105St George, UT 84790-4084 · Phone (435) 775-2324 · Fax (435) 775-2041
Location 14836 S Angel St Ste 102Layton, UT 84041-3687 · Phone (435) 291-1375 · Fax (801) 823-6595
Location 154740 N Butler AveFarmington, NM 87401-0826 · Phone (505) 324-6300 · Fax (505) 327-2218
Location 163360 Washington PkwyIdaho Falls, ID 83404-8332 · Phone (208) 932-7024 · Fax (208) 904-4447
Location 17270 E 8th Ave Ste N102Durango, CO 81301-5708 · Phone (801) 266-3113 · Fax (801) 266-5633
Location 1846 N Main StBlanding, UT 84511-2830 · Phone (435) 270-0271 · Fax (435) 270-0272

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovation Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20211222001412Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Innovation Medical Group PC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner30
Podiatry8
Family Practice3
General Surgery1
Orthopedic Surgery1
Pathology1
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 45
Russell Lowry
Podiatry
NPI 1497238992
6405 S 3000 E STE 201
Salt Lake City, UT 84121
(801) 266-3113
✔ PECOS✔ Accepts Medicare2.3 mi
Niesha Nelson, NP-C
Nurse Practitioner
NPI 1124549100
6405 S 3000 E STE 300
Salt Lake City, UT 84121
(801) 266-3113
✔ PECOS✔ Accepts Medicare2.3 mi
Douglas Toole, D.P.M
Podiatry
NPI 1740543834
6405 S 3000 E STE 201
Salt Lake City, UT 84121
(801) 266-3113
✔ PECOS✔ Accepts Medicare2.3 mi
Taylor Wright, D.P.M.
Podiatry
NPI 1356637409
6405 S 3000 E STE 300
Salt Lake City, UT 84121
(801) 266-3113
✔ PECOS✔ Accepts Medicare2.3 mi
John Zingelman, NP-C
Nurse Practitioner
NPI 1215523956
6405 S 3000 E STE 300
Salt Lake City, UT 84121
(801) 266-3113
✔ PECOS✔ Accepts Medicare2.3 mi
Thomas Simon, DPM
Podiatry
NPI 1356832398
6405 S 3000 E STE 300
Holladay, UT 84121
(801) 266-3113
✔ PECOS✔ Accepts Medicare2.3 mi
Jun Lin, FNP-C
Nurse Practitioner
NPI 1053065847
5171 S COTTONWOOD ST
Murray, UT 84107
(801) 507-9310
✔ PECOS✔ Accepts Medicare3.2 mi
Sara Mleso, FNP
Nurse Practitioner
NPI 1285318295
836 S ANGEL ST STE 102
Layton, UT 84041
(435) 291-1375
✔ PECOS✔ Accepts Medicare31 mi
Heidi Lewis, DNP, FNP-C
Nurse Practitioner
NPI 1952874612
1525 ADDISON AVE E STE A2
Twin Falls, ID 83301
(228) 739-9961
✔ PECOS189 mi
Emmy Patterson
Nurse Practitioner
NPI 1376191296
46 N MAIN ST
Blanding, UT 84511
(435) 270-0271
✔ PECOS✔ Accepts Medicare243 mi
Dashelle Holliday, FNP
Nurse Practitioner
NPI 1740761360
802 S 200 W
Blanding, UT 84511
(435) 678-3993
✔ PECOS243 mi
Hope Barkhurst, M.D.
Family Practice
NPI 1205857406
2095 N DOLORES RD
Cortez, CO 81321
(970) 564-8086
✔ PECOS✔ Accepts Medicare286 mi
Israel Bowers, DPM
Podiatry
NPI 1841879376
2095 N DOLORES RD
Cortez, CO 81321
(970) 564-8086
✔ PECOS✔ Accepts Medicare286 mi
Nicholas Hugentobler, DPM
Podiatry
NPI 1508096116
270 E 8TH AVE SUITE N102
Durango, CO 81301
(970) 903-9853
✔ PECOS✔ Accepts Medicare316 mi
Jordan Womack, DPM
Podiatry
NPI 1205221017
270 E 8TH AVE SUITE N102
Durango, CO 81301
(970) 903-9853
✔ PECOS✔ Accepts Medicare316 mi
Patrick Mclaughlin, M.D.
Physical Medicine and Rehabilitation
NPI 1659548857
575 RIVERGATE UNIT 204
Durango, CO 81301
(801) 573-4021
✔ PECOS✔ Accepts Medicare317 mi
Bryan Poe, DO
Family Practice
NPI 1093888380
406 S PARK AVE
Aztec, NM 87410
(505) 334-2852
✔ PECOS✔ Accepts Medicare335 mi
Blake Burkert, M.D.
Orthopedic Surgery
NPI 1205248713
320 ALPENGLOW LN
Livingston, MT 59047
(406) 222-3541
✔ PECOS✔ Accepts Medicare356 mi
Denise Francois, MD
Pathology
NPI 1720048598
2020 BABCOCK RD STE 14
San Antonio, TX 78229
(210) 617-4445
✔ PECOS✔ Accepts Medicare1,072 mi
Frederick Dressen, DO
General Surgery
NPI 1932159100
6 E SHAWNEE DR
Murphysboro, IL 62966
(618) 684-1035
✔ PECOS1,225 mi
See all 45 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 06D2235819

Taylor G Wright Dba Innovation Medical Group · Cortez, CO
Active · expires Mar 18, 2028
CLIA Number06D2235819
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorDr. Alex Cudkowicz
Laboratory Phone(970) 739-4372
Laboratory LocationTaylor G Wright Dba Innovation Medical Group2095 N Delores Road, Suite 1, Cortez, CO 81321
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovation Medical Group PC's NPI number?

The NPI number for Innovation Medical Group PC is 1235526682. It was assigned to this organization in the NPPES registry on April 23, 2015. The provider is doing business as Innovation Medical Group.

Where is Innovation Medical Group PC located?

Innovation Medical Group PC is located at 6405 S 3000 E Ste 300, Salt Lake City, UT 84121. The listed phone number is (801) 266-3113.

What is Innovation Medical Group PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Innovation Medical Group PC enrolled in Medicare?

Yes. Innovation Medical Group PC is registered in the Medicare PECOS enrollment system.

When is Innovation Medical Group PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Innovation Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 7 Medicare specialties reassign their Medicare billing to Innovation Medical Group PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (30), Podiatry (8) and Family Practice (3). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovation Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 06D2235819) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovation Medical Group PC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Innovation Medical Group PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovation Medical Group PC was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.