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

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20230908000449 DC Practitioner - Physician Assistant 0446614598 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates, LTD Current
since May 30, 2023
Accepting new patients
Physical Medicine Associates, LTD Current
since May 30, 2023
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)CodeLicenseStatePrimary
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

All providers in West Valley, UT · Physician Assistant in Utah

Sources for this page

Verify at the official NPI Registry.