Active NPI
Daniel N. Bennett, MD
- Cardiovascular Disease Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 11277589-1205
- Practice address
- 395 W Cougar Blvd
Provo, UT 84604-3311 - Phone
- (801) 357-4600
- NPI assigned
- May 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 11277589-1205 | UT | |
| Cardiovascular Disease Physician | 207RC0000X | 11277589-1205 | UT | Primary |
Addresses
Primary practice location
395 W Cougar Blvd
Provo, UT 84604-3311
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
1055 N 500 W
Ste 101, Building C
Provo, UT 84604
Phone (801) 373-4366
Other practice location 2
972 N 600 E
Spanish Fork, UT 84660-1306
Phone (801) 373-4366
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
| Direct Messaging Address | medreview@reverehealth.com | Revere Health PC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Utah School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1055 N 500 W
101 Uvh Cardiology
Provo, UT 84604-3305
Phone (801) 373-4366
Hospital & facility affiliations
- Intermountain Health Utah Valley Hospital
- American Fork Hospital
- Intermountain Health Spanish Fork Hospital
- Intermountain Health Sevier Valley Hospital
- Intermountain Health Sanpete Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 77 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | 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 | |
| Revere Health PC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Revere Health PC | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
98 N 1100 E
Ste 302
American Fork, UT 84003
Phone (801) 357-7081
1175 E 50 S
Ste 251
American Fork, UT 84003
Phone (801) 492-2815
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
395 W Cougar Blvd
Provo, UT 84604
Phone (801) 357-4141
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Ste 101
Provo, UT 84604
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
819 E Market Place Dr
Ste 2C
Spanish Fork, UT 84660
972 N 600 E
Spanish Fork, UT 84660
Phone (385) 265-6060
819 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-6600
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Multi-Specialty Clinic/Center
- Provo, UT
- NPI 1093764805
-
- Multi-Specialty Clinic/Center
- Monticello, UT
- NPI 1043444805
-
- Obstetrics & Gynecology Physician
- American Fork, UT
- NPI 1467588178
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1851142285
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- Spanish Fork, UT
- NPI 1124661384
-
- General Acute Care Hospital
- Richfield, UT
- NPI 1336256775
-
- Critical Access Hospital
- Mt Pleasant, UT
- NPI 1407964398
-
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1013200997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 W COUGAR BLVD",
"city": "PROVO",
"state": "UT",
"postal_code": "846043311",
"telephone_number": "801-357-4600"
}
],
"practiceLocations": [
{
"address_1": "1055 N 500 W",
"address_2": "Ste 101, Building C",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "84604",
"country_code": "US",
"telephone_number": "801-373-4366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "972 N 600 E",
"address_purpose": "LOCATION",
"city": "Spanish Fork",
"state": "UT",
"postal_code": "846601306",
"country_code": "US",
"telephone_number": "801-373-4366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNETT",
"first_name": "DANIEL",
"middle_name": "N.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "UT",
"license": "11277589-1205",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "UT",
"license": "11277589-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medreview@reverehealth.com",
"affiliation": "Y",
"affiliationName": "Revere Health PC",
"address_1": "1055 N 500 W",
"address_2": "Ste 101, Building C",
"city": "Provo",
"state": "UT",
"country_code": "US",
"postal_code": "84604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.