NPIMap

Organization Active NPI

Utah Valley Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Provo, UT
National Provider Identifier
1265483598
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
UTAH VALLEY RADIOLOGY ASSOCIATES INC
Practice address
1055 N 300 W Ste 104
Provo, UT 84604-3381
Phone
(801) 379-6700
Fax
(801) 225-1525
NPI assigned
May 12, 2006
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Kimball B Taylor, MDNPI 1760420996
Title
Chairman, President
Phone
(801) 225-6246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary
Vascular & Interventional Radiology Physician 2085R0204X

Addresses

Primary practice location

1055 N 300 W Ste 104
Provo, UT 84604-3381

Mailing address

PO Box 1623
Evansville, IN 47706-0025
Phone (801) 379-6700

Other identifiers 1

IdentifierTypeStateIssuer
87028448008MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031202000093 UT Part B Supplier - Clinic/Group Practice 1759286990 Receives reassigned benefits from 42 practitioners
Practice locations: American Fork, UT; Lehi, UT; Lindon, UT; Monticello, UT; Pleasant Grove, UT; Price, UT; Provo, UT; Saratoga Springs, UT

National Provider Directory

National Provider Directory

Locations

11616 S State St
Ste 1501
Draper, UT 84020
Phone (801) 495-2100

458 W 800 N
Orem, UT 84057
Phone (801) 802-9728

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

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1265483598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1623",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477060025",
            "telephone_number": "801-379-6700",
            "fax_number": "801-225-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 104",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043381",
            "telephone_number": "801-379-6700",
            "fax_number": "801-225-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH VALLEY RADIOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KIMBALL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHAIRMAN, PRESIDENT",
        "authorized_official_telephone_number": "801-225-6246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87028448008",
            "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 Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.