Troy Lunceford, MD
Individual provider Active NPI Internal Medicine Physician · Salem, UT
NPI 1194842286 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1194842286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 377346-1205 (UT)
- Practice address
- 555 W Sr 164
Salem, UT 84653-1635 - Phone
- (801) 465-4813
- Fax
- (801) 812-5433
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2004
- 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
- Aspen Ridge Home Health
- Symbii Home Health South
- Utah Home Health - North
- Aspen Ridge Hospice
- Intermountain Health Utah Valley Hospital
- Intermountain Health Spanish Fork Hospital
- Mountain View Hospital
- Advanced Health Care of Salem
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Advanced Health Care of Salem |
Skilled nursing facility | Adp of the SNF | May 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070730000573 | UT | Practitioner - Internal Medicine | 8325149727 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 377346-1205 | UT | MD | Internal Medicine Physician |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current |
Accepting new patients | |
| Utah Regional Hospitalists LLC | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Utah Regional Hospitalists LLC | Current |
Accepting new patients | |
| Ahc of Salem LLC | Past |
Accepting new patients |
Locations
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
555 W State Road 164
Salem, UT 84653
Phone (801) 465-4896
2582 N Aviator Way
Hngr 244
Spanish Fork, UT 84660
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Networks
- UT PPO
- UT PPO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 377346-1205 | UT | Yes |
Addresses
Primary practice location
555 W Sr 164
Salem, UT 84653-1635
Mailing address
1055 N 500 W
Credentialing Department
Provo, UT 84604-3305
Phone (801) 354-8225
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Revere Health PC |
Other providers in Salem, UT
- Kids Who Count
- Adam Nelson Lee
- Life Tree PLLC
- Olina Lindow
- Carolyn Diane Long
- Karlen E Luthy
- Brad A Mangum
- Lori Marchant
- Nicole Marlene Marsh
- Jennifer Sue Martinez
All providers in Salem, UT · Internal Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.