Active NPI
Andrew Chilberg Judd, MD
- Family Medicine Physician
- Orem, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8699674-1205
- Practice address
- 1975 N State St
Orem, UT 84057-2028 - Phone
- (801) 714-5500
- NPI assigned
- May 16, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8699674-1205 | UT | Primary |
Addresses
Primary practice location
1975 N State St
Orem, UT 84057-2028
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 714-5500
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
- Family Practice
- Education
- University of Maryland School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
475 W 940
Provo, UT 84604-3301
Phone (801) 357-7930
Hospital & facility affiliations
- Intermountain Health Spanish Fork Hospital
- Intermountain Health Utah Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1975 N State St
Orem, UT 84057
Phone (801) 714-5000
395 W Cougar Blvd
Ste 205
Provo, UT 84604
Phone (801) 357-1770
475 W 940 N
Provo, UT 84604
Phone (801) 357-7909
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Multi-Specialty Clinic/Center
- Park City, UT
- NPI 1245464197
-
- Family Medicine Physician
- Orem, UT
- NPI 1942336649
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- Spanish Fork, UT
- NPI 1124661384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1104186758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-714-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 N STATE ST",
"city": "OREM",
"state": "UT",
"postal_code": "840572028",
"telephone_number": "801-714-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "ANDREW",
"middle_name": "CHILBERG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-16",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "8699674-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.