NPIMap

Individual provider Active NPI

Thomas Dee Callahan, M.D.

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1043328123
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
159420-1205 Issued in UT
Practice address
1240 E 100 S
Suite 15a
St George, UT 84790-3001
Phone
(435) 656-5323
Fax
(435) 656-5127
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 159420-1205 UT Primary

Addresses

Primary practice location

1240 E 100 S
Suite 15a
St George, UT 84790-3001

Mailing address

1240 E 100 S
Suite 15a
St George, UT 84790-3001
Phone (435) 656-5323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000559 UT Practitioner - Family Practice 9032005467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Callahan Clinic, PCGroup PAC ID 0446146864, 4 clinicians

Practice addresses (Care Compare)

1240 E 100
Suite 15a
St George, UT 84790-3003
Phone (435) 656-5323

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159420-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Callahan Clinic, PC CurrentSince Nov 1, 2012 Accepting new patients
Red Rock Neuropsychiatry PC PastSince Nov 1, 2012 Accepting new patients

Locations

1240 E 100 S
Ste 15A
St George, UT 84790
Phone (435) 656-2459

Interoperability endpoints

  • Direct secure messaging: thomas.d.callahan@ccp-ut.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 7

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1043328123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S",
            "address_2": "SUITE 15A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903001",
            "telephone_number": "435-656-5323",
            "fax_number": "435-656-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S",
            "address_2": "SUITE 15A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903001",
            "telephone_number": "435-656-5323",
            "fax_number": "435-656-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "THOMAS",
        "middle_name": "DEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "159420-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.