Individual provider Active NPI

Ammon A Hills, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Logan, UT
National Provider Identifier
1104246354
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
11131216-1204 Issued in UT
Practice address
2310 N 400 E Ste a
Logan, UT 84341-1796
Phone
(435) 787-2000
Fax
(435) 787-1913
NPI assigned
Apr 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 11131216-1204 UT Primary

Addresses

Primary practice location

2310 N 400 E Ste a
Logan, UT 84341-1796

Mailing address

2310 N 400 E Ste a
Logan, UT 84341-1796
Phone (435) 787-2000

Other practice location 1

1030 S Medical Dr Ste A
Brigham City, UT 84302-3281
Phone (435) 723-9700

Other identifiers 1

IdentifierTypeStateIssuer
11131216-1204OtherUTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190619000136 UT Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2961628276 Reassigns benefits to 2 organizations
I20191021001679 ID Practitioner - Physical Medicine and Rehabilitation 2961628276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Management and ConsultingGroup PAC ID 5496659245, 21 clinicians
Northern Utah Medical Supply LLCGroup PAC ID 7517349434, 2 clinicians

Practice addresses (Care Compare)

2310 N 400
Suite a
North Logan, UT 84341-1796
Phone (435) 787-2000

44 N 1St
Preston, ID 83263-1326
Phone (208) 852-3662

64 N 1St
Suite 201
Preston, ID 83263-1326
Phone (208) 852-1295

Hospital & facility affiliations

  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11131216-1204UTMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Utah Medical Supply LLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2022 Accepting new patients
Alpine Management and Consulting Physical Medicine & Rehabilitation CurrentSince May 29, 2019 Accepting new patients

Locations

64 N 1st E
Ste 200
Preston, ID 83263
Phone (208) 852-3662

64 N 1st E
Ste 201
Preston, ID 83263
Phone (208) 852-1295

44 N 1st E
Preston, ID 83263
Phone (208) 852-0137

1030 S Medical Dr
Ste A
Brigham City, UT 84302
Phone (435) 723-4500

55 E Golf Course Rd
Unit B
Logan, UT 84321

2310 N 400 E
Ste A
North Logan, UT 84341
Phone (435) 774-8547

Interoperability endpoints

  • Direct secure messaging: ahills@alpineortho.emadirect.md

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1104246354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N 400 E STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411796",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N 400 E STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411796",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 S Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843023281",
            "country_code": "US",
            "telephone_number": "435-723-9700",
            "fax_number": "435-723-9710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLS",
        "first_name": "AMMON",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "11131216-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11131216-1204",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.