Active NPI
Thomas R Carn, M.D.
- Family Medicine Physician
- Orem, UT
National Provider Identifier
1194774588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 170324-1205
- Practice address
- 575 S State St
Orem, UT 84058-6303 - Phone
- (801) 225-2926
- Fax
- (801) 229-2420
- NPI assigned
- May 10, 2006
- 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 | 170324-1205 | UT | Primary |
Addresses
Primary practice location
575 S State St
Orem, UT 84058-6303
Mailing address
1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Revere Health PC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100126000473 | UT | Practitioner - Family Practice | 1052404845 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Revere Health PC
Practice addresses (Care Compare)
1055 N 500
Provo, UT 84604-3305
Phone (801) 429-8000
Hospital & facility affiliations
- Canyon Home Care
- Utah Home Health - North
- Intermountain Health Utah Valley Hospital
- Orem Community Hospital
- American Fork Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170324-1205 | UT | MD | Family Medicine Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients |
Locations
575 S State St
Orem, UT 84058
Phone (801) 225-2926
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
Networks
- UT PPO
- UT PPO D-SNP
Interoperability endpoints
- thomascarn@cuccu.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Saratoga Springs, UT
- NPI 1538867999
-
- Orthopaedic Surgery Physician
- Orem, UT
- NPI 1780017954
-
- Orthopaedic Surgery Physician
- American Fork, UT
- NPI 1891813960
-
- Pharmacist
- Provo, UT
- NPI 1922156884
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1851142285
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Layton, UT
- NPI 1912401613
-
- Home Health Agency
- Murray, UT
- NPI 1306899265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1194774588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "ATTN: CREDENTIALING",
"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": "575 S STATE ST",
"city": "OREM",
"state": "UT",
"postal_code": "840586303",
"telephone_number": "801-225-2926",
"fax_number": "801-229-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARN",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2023-11-27",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "170324-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medreview@reverehealth.com",
"affiliation": "Y",
"affiliationName": "Revere Health PC",
"address_1": "575 S State St",
"city": "Orem",
"state": "UT",
"country_code": "US",
"postal_code": "840586303",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; 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.