Individual provider Active NPI

Lia Ana Chebeleu, MD

  • Neurology Physician
  • Vineyard, UT
National Provider Identifier
1174727739
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
8039433-1205 Issued in UT
Practice address
691 E 400 N, Ste. 110
Vineyard, UT 84058-8405
Phone
(385) 203-0246
Fax
(385) 203-0245
NPI assigned
Jun 14, 2007
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP1-0023301 TX
Neurology Physician 2084N0400X 8039433-1205 UT Primary

Addresses

Primary practice location

691 E 400 N, Ste. 110
Vineyard, UT 84058-8405

Mailing address

PO Box 912042
St George, UT 84791-2042
Phone (385) 203-0246

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000534 UT Practitioner - Neurology 1254583313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

389 S 900
Salt Lake City, UT 84102-2310
Phone (385) 282-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0023301TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jun 25, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Jun 25, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Southwest Spine and Pain Care Specialists, LLC PastSince Mar 22, 2020 Accepting new patients
Granger Medical Specialists LLC Past Accepting new patients
Revere Health PC Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

389 S 900 E
Slc, UT 84102
Phone (385) 282-2000

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

652 S Medical Center Dr
Ste 110
St George, UT 84790
Phone (435) 215-0230

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1174727739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "385-203-0246",
            "fax_number": "385-203-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E 400 N, STE. 110",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840588405",
            "telephone_number": "385-203-0246",
            "fax_number": "385-203-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEBELEU",
        "first_name": "LIA",
        "middle_name": "ANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-0023301",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "8039433-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard, UT

Sources for this page

Verify at the official NPI Registry.