Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derek Scott Anselmo, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1508386665

Dr. Derek Scott Anselmo, DPM is a Podiatry in Tooele, Utah. Qualified in 2017, 9 years ago. Practices with Ryan K Anderson D P M P C, a 51-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2376 N 400 E Ste 204
Tooele, UT 84074-3413
Phone: (610) 983-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC006858 (PA)

Record details

NPI number1508386665
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 20, 2017
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023
Mailing address2376 N 400 E Ste 204, Tooele, UT 84074-3413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ryan K Anderson D P M P C — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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