ELLSWORTH FOOT AND ANKLE CLINIC
NPI 1942549795
Podiatrist - Foot & Ankle Surgery in Riverton, UT

Active since February 13, 2013
12523 S CREEK MEADOW RD STE 105, RIVERTON, UT 84065(801) 253-6886(801) 253-6888 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2021, Nov 11, 2020, Jun 12, 2019 and 1 more (4 updates tracked since 2017).

About Ellsworth Foot And Ankle Clinic NPPES

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

ELLSWORTH FOOT AND ANKLE CLINIC (NPI 1942549795) is a healthcare organization registered as a foot & ankle surgery in Riverton, Utah and active in the NPI registry since February 2013. The organization maintains 5 additional practice locations and lists Ryan Ellsworth, Owner, Manager, as its authorized official.

NPPES Registry Identity

NPI1942549795
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameELLSWORTH FOOT AND ANKLE CLINIC
Location Address12523 S CREEK MEADOW RD STE 105Riverton, UT 84065
Mailing Address12523 S Creek Meadow Rd Ste 105Riverton, UT 84065-7299 · (801) 253-6886 · Fax (801) 253-6888
Fax(801) 253-6888
Organization SubpartNo
Authorized OfficialRyan EllsworthOwner, Manager · (801) 550-0955
Enumeration DateFebruary 13, 2013
Last NPPES UpdateSeptember 29, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1942549795 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
License✔ Licensed in UT · 8400193-0501
12523 S CREEK MEADOW RD STE 105, Riverton, UT 84065

Secondary Practice Locations 5

Location 14019 W 12600 S, Suite 120Riverton, UT 84096-7401 · Phone (801) 253-6886 · Fax (801) 253-6888
Location 23130 S Highland Dr # B4Salt Lake City, UT 84106-3095 · Phone (801) 253-6886 · Fax (801) 253-6888
Location 3777 N 500 W Ste 103Provo, UT 84601-1552 · Phone (801) 253-6886 · Fax (801) 253-6888
Location 4357 N Main StreetHuntington, UT 84528 · Phone (801) 253-6886 · Fax (801) 253-6888
Location 52019 E Riverside Dr Ste A101St George, UT 84790-8147 · Phone (801) 253-6886 · Fax (801) 253-6888

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)

Ellsworth Foot And Ankle Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ellsworth Foot And Ankle Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Podiatry
NPI 1366734394
3130 S HIGHLAND DR STE B4
Salt Lake City, UT 84106
(801) 253-6886
✔ PECOS✔ Accepts Medicare14 mi
Podiatry
NPI 1619914751
82 S 1100 E SUITE 301
Salt Lake City, UT 84102
(801) 505-5277
✔ PECOS✔ Accepts Medicare18 mi
Podiatry
NPI 1710976535
3355 N UNIVERSITY AVE STE 175
Provo, UT 84604
(801) 253-6886
✔ PECOS✔ Accepts Medicare24 mi
Podiatry
NPI 1144635038
4401 HARRISON BLVD STE 1885
Ogden, UT 84403
(801) 387-4870
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1205688421
2019 E RIVERSIDE DR STE A101
St George, UT 84790
(801) 253-6886
✔ PECOS✔ Accepts Medicare251 mi
Podiatry
NPI 1104130574
505 FAIRBURN RD SW STE 100
Atlanta, GA 30331
(404) 618-6077
✔ PECOS1,580 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 Ellsworth Foot And Ankle Clinic's NPI number?

The NPI number for Ellsworth Foot And Ankle Clinic is 1942549795. It was assigned to this organization in the NPPES registry on February 13, 2013.

Where is Ellsworth Foot And Ankle Clinic located?

Ellsworth Foot And Ankle Clinic is located at 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065. The listed phone number is (801) 253-6886.

What is Ellsworth Foot And Ankle Clinic's specialty?

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

Is Ellsworth Foot And Ankle Clinic enrolled in Medicare?

Yes. Ellsworth Foot And Ankle Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellsworth Foot And Ankle Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Ellsworth Foot And Ankle Clinic. 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 (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ellsworth Foot And Ankle Clinic accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Ellsworth Foot And Ankle Clinic 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 Ellsworth Foot And Ankle Clinic was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.