Active NPI
Shelly Savage, MD, LLC
- Family Medicine Physician
- Provo, UT
National Provider Identifier
1194876078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4775407-1205
- Practice address
- 1900 N State St
Provo, UT 84604-1341 - Phone
- (801) 373-2001
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- 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 | 4775407-1205 | UT | Primary |
Addresses
Primary practice location
1900 N State St
Provo, UT 84604-1341
Mailing address
1900 N State St
Provo, UT 84604-1341
Phone (801) 373-2001
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47754071201001 | Other | UT | BCBS OF UTAH |
| 01-01807 | Other | UT | UNITED HEALTHCARE |
| 731282 | Other | UT | DMBA |
| 107008791102 | Other | UT | INTERMOUNTAIN HEALTHCARE |
| 68627 | Other | UT | PEHP |
| 216829 | Other | UT | EMIA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1900 N State St
Provo, UT 84604-1341
Phone (801) 373-2001
Hospital & facility affiliations
- Intermountain Homecare Home Health Salt Lake
- Intermountain Health Utah Valley Hospital
- Orem Community Hospital
- American Fork Hospital
- Timpanogos Regional Hospital
- Intermountain Health Spanish Fork Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4775407-1205 | UT | MD | Family Medicine Physician |
Networks
- UT PPO
- UT PPO D-SNP
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Provo, UT
- NPI 1669652343
-
- Family Medicine Physician
- Provo, UT
- NPI 1306795984
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- South Jordan, UT
- NPI 1447344098
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- Spanish Fork, UT
- NPI 1124661384
-
- General Acute Care Hospital
- Orem, UT
- NPI 1801903240
-
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
-
- General Acute Care Hospital
- Orem, UT
- NPI 1497702195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1194876078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N STATE ST",
"city": "PROVO",
"state": "UT",
"postal_code": "846041341",
"telephone_number": "801-373-2001",
"fax_number": "801-373-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N STATE ST",
"city": "PROVO",
"state": "UT",
"postal_code": "846041341",
"telephone_number": "801-373-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVAGE",
"first_name": "SHELLY",
"credential": "MD, LLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "4775407-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF UTAH",
"identifier": "47754071201001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "01-01807",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "731282",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERMOUNTAIN HEALTHCARE",
"identifier": "107008791102",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "68627",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMIA",
"identifier": "216829",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.