Active NPI
David A Debenham, MD
- Anesthesiology Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 184722-1205
- Practice address
- 1380 East Medical Center Drive
Dixie Regional Medical Center
St. George, UT 84790 - Phone
- (435) 251-1000
- Fax
- (801) 990-1912
- NPI assigned
- Oct 16, 2006
- Last updated
- Oct 15, 2012
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 184722-1205 | UT | Primary |
Addresses
Primary practice location
1380 East Medical Center Drive
Dixie Regional Medical Center
St. George, UT 84790
Mailing address
3340 North Center St
#800
Lehi, UT 84043-7406
Phone (801) 990-1911
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118909300 | Medicaid | WY | |
| 52858 | Other | UT | HEALTHY U |
| PRA02634 | Other | UT | MOLINA |
| 71443 | Other | UT | PEHP |
| 24592 | Other | UT | DESERET MUTUAL |
| 806392300 | Medicaid | ID | |
| QM0000075886 | Other | UT | ALTIUS |
| 870545614DEB | Other | UT | EDUCATORS MUTUAL |
| 002088120 | Medicaid | NV | |
| 066812002 | Medicaid | AZ | |
| 107005903103 | Other | UT | IHC |
| 2090168 | Other | UT | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
150 W Civic Ctr Dr
Suite 200
Sandy, UT 84070-4284
Phone (801) 727-2056
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141
620 S 400
Suite 201
St George, UT 84770-7060
Phone (435) 656-0029
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 89.3
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338500 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David a Debenham MD PC | Current | Accepting new patients | |
| Mountain West Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
| Anesthesia Consultants LLC | Past | Accepting new patients |
Locations
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
3340 N Center St
Ste 800
Lehi, UT 84043
Phone (800) 501-4788
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
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
544 S 400 E
St George, UT 84770
Phone (435) 688-4000
620 S 400 E
Ste 201
St George, UT 84770
Phone (435) 656-0029
Interoperability endpoints
- ddebenham577568@direct.urmc.rochester.edu
- debenham.david.006.0440011@apm.meditab.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- St George, UT
- NPI 1043473358
-
- Anesthesiology Physician
- Lehi, UT
- NPI 1558391763
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
-
- Pain Medicine (Anesthesiology) Physician
- St George, UT
- NPI 1659559367
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1053491183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 NORTH CENTER ST",
"address_2": "#800",
"city": "LEHI",
"state": "UT",
"postal_code": "840437406",
"telephone_number": "801-990-1911",
"fax_number": "801-990-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 EAST MEDICAL CENTER DRIVE",
"address_2": "DIXIE REGIONAL MEDICAL CENTER",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-251-1000",
"fax_number": "801-990-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBENHAM",
"first_name": "DAVID",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "184722-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118909300",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "52858",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PRA02634",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "71443",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "24592",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806392300",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000075886",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870545614DEB",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002088120",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066812002",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107005903103",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2090168",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.