Active NPI
David Allen Vandemerwe, MD
- Family Medicine Physician
- Farmington, UT
National Provider Identifier
1003859547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3570811205
- Practice address
- 444 W Bourne Cir
Farmington, UT 84025-3656 - Phone
- (801) 773-4840
- Fax
- (801) 525-8151
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3570811205 | UT | Primary |
Addresses
Primary practice location
444 W Bourne Cir
Farmington, UT 84025-3656
Mailing address
PO Box 337
Layton, UT 84041-0337
Phone (801) 773-4840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942854057086 | Medicaid | UT |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050825000606 | UT | Practitioner - Family Practice | 4385675792 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
444 W Bourne Cir
Farmington, UT 84025-3656
Phone (801) 773-4840
Hospital & facility affiliations
- Canyon Home Care
- Canyon Hospice
- Canyon Home Care & Hospice
- Intermountain Health McKay-Dee Hospital
- Lakeview Hospital
- Intermountain Health Layton Hospital
- LDS Hospital
- University of Utah Hospital and Clinics
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3570811205 | UT | MD | Family Medicine Physician |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients |
Locations
444 W Bourne Cir
Ste 101
Farmington, UT 84025
Phone (801) 294-9333
444 W Bourne Cir
Farmington, UT 84025
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
425 S 100 W
Layton, UT 84041
Phone (801) 682-8708
390 N Main St
N Salt Lake, UT 84010
Phone (801) 294-1000
54 N 8th W
Salt Lake City, UT 84116
Phone (801) 359-0901
855 W California Ave
Slc, UT 84104
Phone (801) 677-0502
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Networks
- UT PPO
- UT PPO D-SNP
Interoperability endpoints
- david.vandemerwe.p1@direct.tannerclinic.nextgenshare.com
Organizations & group practices 5
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Orem, UT
- NPI 1699148197
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Layton, UT
- NPI 1538951165
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Murray, UT
- NPI 1154665651
Hospice
-
- Home Health Agency
- Murray, UT
- NPI 1306899265
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1306485313
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1003859547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "LAYTON",
"state": "UT",
"postal_code": "840410337",
"telephone_number": "801-773-4840",
"fax_number": "801-525-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 W BOURNE CIR",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840253656",
"telephone_number": "801-773-4840",
"fax_number": "801-525-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEMERWE",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "3570811205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "942854057086",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.