NPIMap

Individual provider Active NPI

Toby Paulson, D.O.

  • Cardiovascular Disease Physician
  • American Fork, UT
National Provider Identifier
1235264169
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8281654-1204 Issued in UT
Practice address
1175 E 50 S
Ste 251
American Fork, UT 84003-2845
Phone
(801) 492-2815
Fax
(801) 492-0191
NPI assigned
Feb 22, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8938 OH
Hospitalist Physician 208M00000X 20A12193 CA
Cardiovascular Disease Physician 207RC0000X 8281654-1204 UT Primary

Addresses

Primary practice location

1175 E 50 S
Ste 251
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

3000 N Triumph Blvd Ste 100
Lehi, UT 84043-4999
Phone (801) 373-4366

Other practice location 2

700 W 800 N Ste 230
Orem, UT 84057-6301
Phone (801) 429-0620

Electronic endpoints 1

TypeEndpointUseAffiliation
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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922001363 UT Practitioner - Cardiovascular Disease (Cardiology) 7719081579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380
Phone (801) 357-4423

1175 E 50
Suite 211
American Fork, UT 84003-2845
Phone (801) 418-0807

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8938OHMDInternal Medicine Physician
8281654-1204UTMDCardiovascular Disease Physician
20A12193CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bakorp, L.L.C. CurrentSince May 14, 2013 Accepting new patients
Ihc Health Services, Inc. CurrentSince Mar 6, 2017 Accepting new patients
Revere Health PC CurrentSince Aug 15, 2016 Accepting new patients
Quality Medical Imaging of Utah, Inc. CurrentSince Dec 17, 2008 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 6, 2017 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Revere Health PC CurrentSince Aug 15, 2016 Accepting new patients
Payson Healthcare Management Inc Family Medicine PastSince Oct 1, 1999 Accepting new patients

Locations

1175 E 50 S
Ste 211
American Fork, UT 84003
Phone (801) 418-0807

1175 E 50 S
Ste 251
American Fork, UT 84003
Phone (801) 492-2815

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

3000 N Triumph Blvd
Ste 100
Lehi, UT 84043
Phone (385) 345-3555

3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070

331 N 400 W
Orem, UT 84057
Phone (801) 224-4080

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

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

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

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

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: tobypaulson@cuccu.allscriptsdirect.net

Organizations & group practices 8

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 8

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1235264169",
    "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",
            "address_2": "STE 251",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032845",
            "telephone_number": "801-492-2815",
            "fax_number": "801-492-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Triumph Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434999",
            "country_code": "US",
            "telephone_number": "801-373-4366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W 800 N Ste 230",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840576301",
            "country_code": "US",
            "telephone_number": "801-429-0620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "TOBY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "8938",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A12193",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "8281654-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Revere Health PC",
            "address_1": "1175 E 50 S",
            "address_2": "Ste 251",
            "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.