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

Jordan James Radandt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053801324

Jordan James Radandt is a Podiatry in Salt Lake City, Utah. Qualified in 2018, 8 years ago. Practices with Gila River Health Care Corporation, a 241-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Salt Lake City, UT

Additional practice locations (1)

  • 777 N 500 W Ste 103, Provo, UT 84601-1552 — (801) 253-6886

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 11313930-0501 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (UT)

Record details

NPI number1053801324
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2018
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Gila River Health Care Corporation — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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