NPIMap

Individual provider Active NPI

Casey Lawrence Stelter, MD

  • Family Medicine Physician
  • Layton, UT
National Provider Identifier
1073607222
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
309877-1205 Issued in UT
Practice address
2940 N Church St
Layton, UT 84040-6614
Phone
(801) 475-3010
Fax
(801) 475-3001
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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 309877-1205 UT Primary

Addresses

Primary practice location

2940 N Church St
Layton, UT 84040-6614

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3482

Other identifiers 2

IdentifierTypeStateIssuer
D6172MedicaidUT
1770527871MedicaidUT

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
I20050810000385 UT Practitioner - Family PracticePractitioner - Internal Medicine 7911898838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ogden Clinic PCGroup PAC ID 9638078033, 104 clinicians

Practice addresses (Care Compare)

4650 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3010

Hospital & facility affiliations

  • Atlas Home Care Home health agency, Layton, UT, CCN 467232
  • Inspiration Home Health, LLC Home health agency, Clearfield, UT, CCN 467242
  • Atlas Hospice Hospice, Layton, UT, CCN 461535
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
  • Intermountain Health Layton Hospital Hospital, Layton, UT, CCN 460061
  • St Joseph Villa Nursing home, Salt Lake City, UT, CCN 465095
  • Heritage Park Healthcare and Rehabilitation Nursing home, Roy, UT, CCN 465003
  • The Terrace Transitional Nursing home, Ogden, UT, CCN 465115
  • Paramount Health and Rehabilitation Nursing home, Salt Lake City, UT, CCN 465100
  • Harrison Pointe Healthcare and Rehabilitation Nursing home, Ogden, UT, CCN 465009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309877-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC Current Accepting new patients
CLS Medical LLC Family Medicine CurrentSince Aug 31, 2021 Accepting new patients
Ogden Clinic PC Family Medicine CurrentSince Oct 10, 2021 Accepting new patients
Mountain View Medical, LLC Past Accepting new patients
East Layton Internal Medicine LLC Past Accepting new patients
Mercury Medical LLC PastSince Aug 14, 2017 Accepting new patients

Locations

2950 N Church St
Ste 200
Layton, UT 84040
Phone (801) 546-9441

5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

2700 W 5600 S
Roy, UT 84067
Phone (801) 825-9731

4035 S 500 E
Salt Lake Cty, UT 84107
Phone (801) 262-9181

1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550

3430 Harrison Blvd
South Ogden, UT 84403
Phone (801) 399-5609

451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557

400 E 5350 S
Washington Terrace, UT 84405
Phone (801) 479-7543

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Paramount Health and RehabilitationSalt Lake City, UT, CCN 465100 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 May 24, 2020
May 24, 2020
May 24, 2020
Harrison Pointe Healthcare and RehabilitationOgden, UT, CCN 465009 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 May 1, 2016
May 1, 2016
May 1, 2016
Heritage Park Healthcare and RehabilitationRoy, UT, CCN 465003 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jan 24, 2018
Jan 24, 2018
Jan 24, 2018
The Terrace TransitionalOgden, UT, CCN 465115 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Aug 1, 2019
Aug 1, 2019
Aug 1, 2019
Atlas HospiceLayton, UT, CCN 461535 Hospice Contracted Managing Employee Jan 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1073607222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5546",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175546",
            "telephone_number": "801-475-3482",
            "fax_number": "801-475-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N CHURCH ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406614",
            "telephone_number": "801-475-3010",
            "fax_number": "801-475-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELTER",
        "first_name": "CASEY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "309877-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6172",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770527871",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.