Individual provider Active NPI

Jason Marshall Allen, DO

  • Diagnostic Radiology Physician
  • Provo, UT
National Provider Identifier
1184845539
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14261150-1204 Issued in UT
Practice address
1055 N 500 W Ste 112
Provo, UT 84604-3305
Phone
(801) 812-4624
Fax
(801) 812-4699
NPI assigned
May 2, 2007
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14261150-1204 UT Primary
Diagnostic Radiology Physician 2085R0202X DR.0054989 CO

Addresses

Primary practice location

1055 N 500 W Ste 112
Provo, UT 84604-3305

Mailing address

1055 N 500 W
Provo, UT 84604-3305
Phone (801) 354-8225

Other practice location 1

555 W State Road 164
Salem, UT 84653-5732
Phone (801) 812-4624

Other practice location 2

3000 N Triumph Blvd Ste 100
Lehi, UT 84043-7186
Phone (385) 345-3155

Other practice location 3

1175 E 50 S Ste 141
American Fork, UT 84003-2845
Phone (801) 492-5996

Other practice location 4

2825 E Mall Dr
St George, UT 84790-1954
Phone (435) 986-2238

Other practice location 5

1776 N Highway 40
Heber City, UT 84032-5008
Phone (801) 812-4624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 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
I20150603000299 CO Practitioner - Diagnostic Radiology 1456529262 Reassigns benefits to 2 organizations
I20260317002473 UT Practitioner - Diagnostic Radiology 1456529262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians
Radiology and Imaging Consultants PCGroup PAC ID 1850298647, 45 clinicians

Practice addresses (Care Compare)

1055 N 500
Provo, UT 84604-3305
Phone (801) 812-4624

1370 Interquest Pkwy
Suite 300
Colorado Springs, CO 80921-4340
Phone (719) 364-3750

1400 E Boulder St
Memorial Hospital Central
Colorado Springs, CO 80909-5599
Phone (719) 365-5120

5818 N Nevada Ave
Colorado Springs, CO 80918-3505
Phone (719) 365-7480

875 W 136TH Ave
100 Uchealth Imaging SVCS Broomfield
Broomfield, CO 80023-9303
Phone (303) 457-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
43.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14261150-1204UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Dec 14, 2020 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Revere Health PC CurrentSince Apr 13, 2026 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Uchealth Imaging Services LLC Diagnostic Radiology CurrentSince Dec 14, 2020 Accepting new patients
Radiology & Imaging Consultants PC Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Radiology Associates of Mansfield, Inc Diagnostic Radiology CurrentSince Oct 31, 2012 Accepting new patients
Revere Health PC CurrentSince Apr 13, 2026 Accepting new patients
Regents of the University of California Past Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology PastSince Oct 31, 2012 Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

875 W 136th Ave
Broomfield, CO 80023
Phone (303) 457-7700

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

1370 Interquest Pkwy
Ste 110
Colorado Springs, CO 80921
Phone (719) 364-6600

1370 Interquest Pkwy
Ste 300
Colorado Springs, CO 80921
Phone (719) 364-3750

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3843 Rio Vista Dr
Ste 1100
Colorado Springs, CO 80917
Phone (719) 364-4903

3843 Rio Vista Dr
Ste 2500
Colorado Springs, CO 80917
Phone (719) 364-5480

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

100 Cook St
Ste 212
Denver, CO 80206
Phone (720) 516-9200

1500 Park Central Dr
Ste 202
Highlands Ranch, CO 80129
Phone (720) 516-2100

1500 Park Central Dr
Ste 203
Highlands Ranch, CO 80129
Phone (720) 516-2100

19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121

16990 Village Center Dr E
Parker, CO 80134
Phone (303) 805-3020

1175 E 50 S
Ste 141
American Fork, UT 84003
Phone (801) 492-5996

1776 N Highway 40
Heber City, UT 84032
Phone (801) 812-4624

3000 N Triumph Blvd
Ste 100
Lehi, UT 84043
Phone (385) 345-3155

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 112
Provo, UT 84604
Phone (801) 812-4624

555 W State Road 164
Salem, UT 84653
Phone (801) 465-4896

2825 E Mall Dr
St George, UT 84790
Phone (435) 673-6131

Organizations & group practices 12

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1184845539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 500 W STE 112",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-812-4624",
            "fax_number": "801-812-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 W State Road 164",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "UT",
            "postal_code": "846535732",
            "country_code": "US",
            "telephone_number": "801-812-4624",
            "fax_number": "801-812-4699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 N Triumph Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840437186",
            "country_code": "US",
            "telephone_number": "385-345-3155",
            "fax_number": "385-345-3163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 E 50 S Ste 141",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032845",
            "country_code": "US",
            "telephone_number": "801-492-5996",
            "fax_number": "801-492-5993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 E Mall Dr",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847901954",
            "country_code": "US",
            "telephone_number": "435-986-2238",
            "fax_number": "435-986-2237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 N Highway 40",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840325008",
            "country_code": "US",
            "telephone_number": "801-812-4624",
            "fax_number": "801-812-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JASON",
        "middle_name": "MARSHALL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "14261150-1204",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0054989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.