Peter Michael Sundwall

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12158239-1205 Issued in UT

Practice address

10290 N. North County Blvd. Ste 200
Highland, UT 84003-8400

Phone

(208) 625-6000

Fax

(208) 625-6001

NPI assigned

May 11, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Utah School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preservemd LLCGroup PAC ID 0244638104, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• American Fork Hospital Hospital, American Fork, UT, CCN 460023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Preservemd LLC

  • Family Medicine Physician
  • Highland, UT
  • NPI 1942881867
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Provo, UT
  • NPI 1114025491
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • American Fork, UT
  • NPI 1912014358
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1003306473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 N NORTH COUNTY BLVD STE 200",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038973",
            "telephone_number": "801-899-3391",
            "fax_number": "801-685-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 N. NORTH COUNTY BLVD. STE 200",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038400",
            "telephone_number": "208-625-6000",
            "fax_number": "208-625-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDWALL",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12158239-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Spencer, MS
• Nikole Decker Squires, LAT, ATC, CPT
• Steven J. Weaver, O.D. LLC
• Denise Stratton, MS, CCC-SLP
• Paisley Summerhays
• Peter V Sundwall Jr., M.D.
• Chelsi Taylor, DNP
• Sloan M Taylor, MD
• TCFH LC
• Donavan Lewis Terranova, LMT

• Family Medicine Physician in Highland, UT
• Providers in Highland, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.