NPIMap

Individual provider Active NPI

Allison Walter Venner, MD

  • Gastroenterology Physician
  • Salt Lake City, UT
National Provider Identifier
1255592150
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13090962-1205 Issued in UT
Practice address
6360 S 3000 E Ste 220
Salt Lake City, UT 84121-6924
Phone
(801) 944-3144
Fax
(801) 944-3186
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 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 MD038966 DC
Gastroenterology Physician 207RG0100X 15528 NV
Gastroenterology Physician 207RG0100X 13090962-1205 UT Primary

Addresses

Primary practice location

6360 S 3000 E Ste 220
Salt Lake City, UT 84121-6924

Mailing address

1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567

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
I20230111001934 UT Practitioner - Gastroenterology 5890001606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Louisiana State University School of Medicine in Shreveport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Gastroenterology LLCGroup PAC ID 9830174150, 71 clinicians

Practice addresses (Care Compare)

6360 S 3000
Suite 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.45 of 100Reported as group
Quality
47.08
Promoting interoperability
95
Improvement activities
40
Cost
75.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy99
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038966DCMDInternal Medicine Physician
13090962-1205UTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Gastroenterology LLC Gastroenterology Current Accepting new patients
Utah Gastroenterology Gastroenterology CurrentSince Mar 1, 2023 Accepting new patients
Utah Gastroenterology LLC Gastroenterology CurrentSince Mar 1, 2023 Accepting new patients
Utah Gastroenterology LLC Gastroenterology Current Accepting new patients

Locations

620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057

6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144

1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041

6360 S 3000 E
Ste 220
Salt Lake Cty, UT 84121
Phone (801) 944-3195

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149

Interoperability endpoints

  • Direct secure messaging: avenner@directaddress.net
  • FHIR API: https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1255592150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 VISTA LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034643",
            "telephone_number": "775-884-4567",
            "fax_number": "775-884-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216924",
            "telephone_number": "801-944-3144",
            "fax_number": "801-944-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNER",
        "first_name": "ALLISON",
        "middle_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD038966",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "15528",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "13090962-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.