THE RIDGE FOOT AND ANKLE CENTER
NPI 1922736842
Podiatrist - Foot & Ankle Surgery in Ammon, ID

Active since August 09, 2022
2677 E 17TH ST STE 200, AMMON, ID 83406(208) 741-3660 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2022, Aug 19, 2022, Aug 9, 2022 (3 updates tracked since 2022).

About The Ridge Foot And Ankle Center NPPES

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

THE RIDGE FOOT AND ANKLE CENTER (NPI 1922736842) is a healthcare organization registered as a foot & ankle surgery in Ammon, Idaho and active in the NPI registry since August 2022. The organization lists Braden Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1922736842
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameRIDGE MEDICAL GROUP PA
Location Address2677 E 17TH ST STE 200Ammon, ID 83406-6612
Mailing Address2677 E 17th St Ste 200Ammon, ID 83406-6612 · (208) 741-3660
Organization SubpartNo
Authorized OfficialBraden JenkinsPresident · (208) 881-2100
Enumeration DateAugust 9, 2022
Last NPPES UpdateSeptember 30, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1922736842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
2677 E 17TH ST STE 200, Ammon, ID 83406

Other Names 1

Doing Business AsThe Ridge Foot And Ankle Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

The Ridge Foot And Ankle Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Ridge Foot And Ankle Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1609337682
2677 E 17TH ST STE 200
Ammon, ID 83406
(208) 881-2100
✔ PECOS✔ Accepts MedicareSame address

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 Ridge Medical Group PA's NPI number?

The NPI number for Ridge Medical Group PA is 1922736842. It was assigned to this organization in the NPPES registry on August 9, 2022. The provider is doing business as The Ridge Foot And Ankle Center.

Where is Ridge Medical Group PA located?

Ridge Medical Group PA is located at 2677 E 17th St Ste 200, Ammon, ID 83406. The listed phone number is (208) 741-3660.

What is Ridge Medical Group PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ridge Medical Group PA enrolled in Medicare?

Yes. Ridge Medical Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ridge Medical Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Ridge Medical Group PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ridge Medical Group PA accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Ridge Medical Group PA 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 Ridge Medical Group PA was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.