NPIMap

Individual provider Active NPI

John S Collins, MD

  • Diagnostic Radiology Physician
  • Provo, UT
National Provider Identifier
1215974266
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
372366-1205 Issued in UT
Practice address
1034 N 500 W
Provo, UT 84604-3380
Phone
(801) 373-7850
NPI assigned
May 31, 2006
Last updated
Oct 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 372366-1205 UT
Diagnostic Radiology Physician 2085R0202X 372366-1205 UT Primary

Addresses

Primary practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

560W 800 N
Orem, UT 84057-3746
Phone (801) 225-6246

Other identifiers 3

IdentifierTypeStateIssuer
107008671101OtherUTIHC
590027OtherUTDMBA
870284448CO1OtherUTEMIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523001053 UT Practitioner - Diagnostic Radiology 9133103567 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Utah Valley Radiology Associates IncGroup PAC ID 1759286990, 35 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

280 River Park Dr
Suite 120
Provo, UT 84604-5796
Phone (601) 229-2011

560 W 800
Orem, UT 84057-3746
Phone (801) 525-7770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
372366-1205UTMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bakorp, L.L.C. CurrentSince May 14, 2013 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 1, 1999 Accepting new patients
Tellica Imaging, LLC CurrentSince Jan 1, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 1, 1999 Accepting new patients
St. George Radiology Inc. Diagnostic Radiology CurrentSince Dec 21, 2009 Accepting new patients
Riverwoods Urgent Care Center LC CurrentSince Mar 14, 2015 Accepting new patients
Ubmc Anesthesiology PastSince Jul 1, 2020 Accepting new patients
Intermountain Vein Center Past Accepting new patients
Tellica Imaging, LLC PastSince Jan 1, 2024 Accepting new patients
Tooele Valley Imaging, LLC PastSince Aug 1, 2011 Accepting new patients

Locations

126 White Sage Ave
Delta, UT 84624
Phone (435) 864-5591

674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

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

560 W 800 N
Orem, UT 84057
Phone (801) 701-6504

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

1055 N 300 W
Ste 104
Provo, UT 84604
Phone (801) 357-7525

280 River Park Dr
Ste 120
Provo, UT 84604
Phone (601) 229-2011

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

250 W 300 N
Ste 752
Roosevelt, UT 84066
Phone (435) 722-4691

1308 E 900 S
Ste C
St George, UT 84790
Phone (435) 673-2301

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4

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 7

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1215974266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573746",
            "telephone_number": "801-225-6246",
            "fax_number": "801-225-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043380",
            "telephone_number": "801-373-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "UT",
            "license": "372366-1205",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "372366-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107008671101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "590027",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA",
            "identifier": "870284448CO1",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.