Jordan Radandt

Public-record details

Address

3130 S Highland Dr # B4, Salt Lake City, UT 84106

Phone

(801) 253-6886

Listed under

Individual podiatrists

NPI

1053801324

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Podiatrist (213E00000X)

License number on NPI record

11313930-0501 (UT)

NPI first issued

May 13, 2018

Years since NPI first issued

8 years (since 2018)

License state on NPI record

UT

NPI record last updated

Sep 14, 2021

Medicare enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians

Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Professional school graduation (CMS)

2018 (8 years ago)

Medicare group practice (CMS)

Gila River Health Care Corporation (247 clinicians)

Practice locations on file with Medicare (CMS)

1

Other practice locations (NPPES)

1: Provo, UT

Other podiatry listings at this street address

1

NPI 1053801324 is active in the federal NPPES registry (CMS) with Podiatrist as its self-reported primary taxonomy; license 11313930-0501 (UT) is listed on the record. CMS Doctors & Clinicians lists this clinician as enrolled in Medicare. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Podiatrist Index does not vet, employ, recommend or guarantee podiatry practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Podiatrist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Podiatrists hold a Doctor of Podiatric Medicine (DPM) degree and are licensed by each state to treat the foot and ankle; the scope, especially for ankle surgery, varies by state. A registered specialty is not board certification. Confirm the license with the state podiatry board and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine.

View NPI 1053801324 in the official registry ↗

Practices and podiatrists at this address

Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.

• Ellsworth Foot and Ankle Clinic (practice/organization)