Individual provider Active NPI

Dawn Thi Thuy Ngo, PA-C

  • Physician Assistant
  • American Fork, UT
National Provider Identifier
1194805978
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50085381206 Issued in UT
Practice address
1175 E 50 S Ste 221
American Fork, UT 84003-2845
Phone
(801) 772-0775
Fax
(801) 772-1941
NPI assigned
Oct 16, 2006
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5008538-1206 UT
Physician Assistant 363A00000X 50085381206 UT Primary

Addresses

Primary practice location

1175 E 50 S Ste 221
American Fork, UT 84003-2845

Mailing address

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

Other practice location 1

1055 N 500 W Ste 100
Provo, UT 84604-3305
Phone (801) 772-0775

Other practice location 2

3590 W 9000 S Ste 120
West Jordan, UT 84088-8858
Phone (801) 208-1075

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Central Utah Clinic, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070129000113 UT Practitioner - Physician Assistant 2466453881 Reassigns benefits to 2 organizations
I20251031004147 CO Practitioner - Physician Assistant 2466453881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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) 282-2400

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

852 N 500
Provo, UT 84604-3322
Phone (801) 442-4558

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50085381206UTMDPhysician Assistant
5008538-1206UTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Feb 3, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2025 Accepting new patients
Revere Health PC CurrentSince Aug 3, 2015 Accepting new patients
Ihc Health Services Inc Internal Medicine CurrentSince Feb 3, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2025 Accepting new patients
Revere Health PC CurrentSince Aug 3, 2015 Accepting new patients
Hunter Medical Center, Inc Family Medicine Past Accepting new patients

Locations

8900 E 46th Pl
Denver, CO 80238
Phone (303) 403-6300

8550 W 38th Ave
Ste 320
Wheat Ridge, CO 80033
Phone (801) 442-4122

1175 E 50 S
Ste 221
American Fork, UT 84003
Phone (801) 772-0775

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

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

1055 N 500 W
Ste 100
Provo, UT 84604
Phone (801) 374-1268

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

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

Organizations & group practices 9

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 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1194805978",
    "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": "1175 E 50 S STE 221",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032845",
            "telephone_number": "801-772-0775",
            "fax_number": "801-772-1941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N 500 W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043305",
            "country_code": "US",
            "telephone_number": "801-772-0775",
            "fax_number": "801-772-1941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3590 W 9000 S Ste 120",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840888858",
            "country_code": "US",
            "telephone_number": "801-208-1075",
            "fax_number": "385-351-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "DAWN",
        "middle_name": "THI THUY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "5008538-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "50085381206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Central Utah Clinic, P.C.",
            "address_1": "1175 E 50 S Ste 221",
            "city": "American Fork",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840032845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.