Active NPI
John Emil Wennergren, M.D.
- Surgery Physician
- Lehi, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9362974-1205
- Practice address
- 3000 N Triumph Blvd Ste 250
Lehi, UT 84043-7187 - Phone
- (801) 852-9480
- Fax
- (801) 852-9489
- NPI assigned
- May 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9362974-1205 | UT | Primary |
Addresses
Primary practice location
3000 N Triumph Blvd Ste 250
Lehi, UT 84043-7187
Mailing address
3550 N University Ave Ste 250
Provo, UT 84604-6695
Phone (801) 374-9625
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwennergren@utahsurgical.com | Direct |
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
- General Surgery
- Education
- University of Colorado School of Medicine, Denver, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 N 500
Uvh Psych Dept
Provo, UT 84604-3380
Phone (801) 357-7850
3550 N University Ave
Suite 250
Provo, UT 84604-6685
Phone (801) 374-9625
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47353 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Surgery | Current | Accepting new patients |
| Utah Surgical Associates, Inc. | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Utah Weight Loss, LLC | Past | Accepting new patients | |
| Granite Peaks Gi, LLC | Past | Accepting new patients |
Locations
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
1248 E 90 N
Ste 102
American Fork, UT 84003
Phone (801) 756-9132
3000 N Triumph Blvd
Ste 250
Lehi, UT 84043
Phone (801) 619-9000
15 S 1000 E
Ste 350
Payson, UT 84651
Phone (801) 465-5602
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
1055 N 300 W
Ste 101
Provo, UT 84604
Phone (801) 852-3459
3550 N University Ave
Ste 250
Provo, UT 84604
Phone (801) 374-9625
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
692 E Market Place Dr
Ste 202
Spanish Fork, UT 84660
Phone (801) 852-3230
Networks
- UT PPO D-SNP
- UT PPO
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- usapro.johnwennergren@143148.advancedmd-direct.com
Organizations & group practices 6
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.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
Surgery
-
- Specialist
- Provo, UT
- NPI 1851450720
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Gastroenterology Physician
- Sandy, UT
- NPI 1689872897
-
- Dietary Manager
- Provo, UT
- NPI 1720447766
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
dba Intermountain Health Utah Valley Hospital
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
dba Intermountain Health Infusion Center- Spanish Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- Spanish Fork, UT
- NPI 1679426944
Hospital
-
dba Intermountain Health American Fork Hospital
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
-
dba Intermountain Health Infusion Center- American Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- American Fork, UT
- NPI 1982557252
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1053545434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 N UNIVERSITY AVE STE 250",
"city": "PROVO",
"state": "UT",
"postal_code": "846046695",
"telephone_number": "801-374-9625",
"fax_number": "801-374-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N TRIUMPH BLVD STE 250",
"city": "LEHI",
"state": "UT",
"postal_code": "840437187",
"telephone_number": "801-852-9480",
"fax_number": "801-852-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENNERGREN",
"first_name": "JOHN",
"middle_name": "EMIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-13",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "9362974-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwennergren@utahsurgical.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3550 N University Ave Ste 250",
"city": "Provo",
"state": "UT",
"country_code": "US",
"postal_code": "846046695",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.