Anthony Charles Alder, PA-C, DMS
Individual provider Active NPI Physician Assistant · West Valley, UT
NPI 1083328850 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1083328850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3725 W 4100 S Ste 107
West Valley, UT 84120-6063 - Phone
- (385) 402-7500
- NPI assigned
- Jan 6, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230908000449 | DC | Practitioner - Physician Assistant | 0446614598 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine Associates, LTD | Current |
Accepting new patients | |
| Physical Medicine Associates, LTD | Current |
Accepting new patients | |
| Physical Medicine Associates LTD | Past | Accepting new patients |
Locations
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
24560 Southpoint Dr
Aldie, VA 20105
Phone (571) 370-3686
6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332
8501 Arlington Blvd
Ste 410
Fairfax, VA 22031
Phone (703) 738-4331
5213 Hickory Park Dr
Ste B
Glen Allen, VA 23059
Phone (804) 270-7262
1750 Tysons Blvd
Ste 120
McLean, VA 22102
Phone (703) 556-9155
14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3725 W 4100 S Ste 107
West Valley, UT 84120-6063
Mailing address
3725 W 4100 S Ste 107
West Valley City, UT 84120-6063
Phone (385) 402-7500
Other providers in West Valley, UT
- Access Professional Dental Care,LLC
- Affordable Care Services LLP
- After Hours Medical LLC, Dba Medallus Medical
- Ruth Sarahi Aguirre
- Madison Paige Albritton
- Celia Moleni Ale
- Kade Daniel Allen
- Lilly Allen
- Bryan Allred
- Megan Anderson
All providers in West Valley, UT · Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.