Individual provider Active NPI

Curtis A Nielsen, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Lehi, UT
National Provider Identifier
1013237502
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
8063548-1204 Issued in UT
Practice address
3401 N Center St Ste 100
Lehi, UT 84043-7498
Phone
(801) 753-7770
Fax
(801) 753-7775
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X 8063548-1204 UT Primary
Family Medicine Physician 207Q00000X 8063548-1204 UT

Addresses

Primary practice location

3401 N Center St Ste 100
Lehi, UT 84043-7498

Mailing address

3401 N Center St Ste 100
Lehi, UT 84043-7498
Phone (801) 753-7770

Other practice location 1

1250 E 3900 S
Suite 260
Salt Lake City, UT 84124-1348
Phone (801) 265-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address curtis.nielsen@direct.imail.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000491 UT Practitioner - Sports MedicinePractitioner - General PracticePractitioner - Family Practice 9739330523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed Associates LLCGroup PAC ID 6204140122, 8 clinicians

Practice addresses (Care Compare)

3401 N Ctr St
Suite 210
Lehi, UT 84043-7497
Phone (801) 753-7770

Hospital & facility affiliations

  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8063548-1204UTMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Associates LLC Multi-Specialty CurrentSince Aug 1, 2015 Accepting new patients
Utah Healthcare Institute Inc Multi-Specialty PastSince Jul 1, 2000 Accepting new patients

Locations

3401 N Center St
Ste 100
Lehi, UT 84043
Phone (801) 753-7770

3401 N Center St
Ste 210
Lehi, UT 84043
Phone (801) 753-7770

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1013237502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N CENTER ST STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437498",
            "telephone_number": "801-753-7770",
            "fax_number": "801-753-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N CENTER ST STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437498",
            "telephone_number": "801-753-7770",
            "fax_number": "801-753-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E 3900 S",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841241348",
            "country_code": "US",
            "telephone_number": "801-265-2000",
            "fax_number": "801-506-0296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "CURTIS",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "UT",
            "license": "8063548-1204",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "8063548-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "curtis.nielsen@direct.imail.org",
            "affiliation": "N",
            "address_1": "3401 N Center St Ste 100",
            "city": "Lehi",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840437498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.