MOUNTAIN WEST PODIATRY LLC
NPI 1235855669
Podiatrist in Centerville, UT

Active since October 17, 2022
380 S MAIN ST, CENTERVILLE, UT 84014(801) 447-1615 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 27, 2022, Oct 17, 2022 (2 updates tracked since 2022).

About Mountain West Podiatry Llc NPPES

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

MOUNTAIN WEST PODIATRY LLC (NPI 1235855669) is a healthcare organization registered as a podiatrist in Centerville, Utah and active in the NPI registry since October 2022. The organization lists Nathan Payne, Owner, as its authorized official.

NPPES Registry Identity

NPI1235855669
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMOUNTAIN WEST PODIATRY LLC
Location Address380 S MAIN STCenterville, UT 84014-2266
Mailing AddressPo Box 607Centerville, UT 84014-0607 · (807) 447-1615
Organization SubpartNo
Authorized OfficialNathan PayneOwner · (801) 447-1615
Enumeration DateOctober 17, 2022
Last NPPES UpdateJanuary 15, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2024
✔ NPI 1235855669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
380 S MAIN ST, Centerville, UT 84014

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain West Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Mountain West Podiatry LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1427741149
380 S MAIN ST
Centerville, UT 84014
(530) 869-1444
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1699863332
500 FOOTHILL BLVD MAIL STOP #112
Slc, UT 84148
(801) 582-1565
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1104370451
425 W 2125 N
Sunset, UT 84015
(801) 725-7268
✔ PECOS17 mi
Nurse Practitioner
NPI 1497534002
523 N 2800 W
Ogden, UT 84404
(801) 380-3526
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1154088441
3333 N DIGITAL DR STE 400
Lehi, UT 84043
(385) 455-9299
✔ PECOS✔ Accepts Medicare33 mi
Podiatry
NPI 1760748487
10463 DOUBLE R BLVD STE 100
Reno, NV 89521
(775) 358-2542
✔ PECOS✔ Accepts Medicare405 mi
Podiatry
NPI 1760845473
104 MARGARET LN STE A
Grass Valley, CA 95945
(801) 368-0512
✔ PECOS✔ Accepts Medicare499 mi
Podiatry
NPI 1609179845
1060 CHAMBERS ST
Eugene, OR 97402
(717) 275-2884
✔ PECOS✔ Accepts Medicare613 mi
Podiatry
NPI 1508215179
428 N TRADE ST STE 100
Matthews, NC 28105
(704) 841-4000
✔ PECOS✔ Accepts Medicare1,737 mi

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

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 Mountain West Podiatry LLC's NPI number?

The NPI number for Mountain West Podiatry LLC is 1235855669. It was assigned to this organization in the NPPES registry on October 17, 2022.

Where is Mountain West Podiatry LLC located?

Mountain West Podiatry LLC is located at 380 S Main St, Centerville, UT 84014. The listed phone number is (801) 447-1615.

What is Mountain West Podiatry LLC's specialty?

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

Is Mountain West Podiatry LLC enrolled in Medicare?

Yes. Mountain West Podiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain West Podiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Mountain West Podiatry LLC. 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 Podiatry (5) and Nurse Practitioner (4). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain West Podiatry LLC accept?

Health plans from Molina Healthcare list Mountain West Podiatry LLC 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 Mountain West Podiatry LLC was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.