Christy Bou Fadel, MD (MBBS)
Individual provider Active NPI Family Medicine Physician · Stansbury Park, UT
NPI 1275415309 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1275415309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14211096-1205 (UT)
- Practice address
- Stansbury Health Center (Tooeie)
220 Millpond Road, 100
Stansbury Park, UT 84074 - Phone
- (435) 843-3000
- NPI assigned
- Jul 21, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Utah Community Physicians Group
Practice addresses (Care Compare)
1525 W 2100
Salt Lake City, UT 84119-1407
Phone (801) 213-9900
Hospital & facility affiliations
- University of Utah Hospital and Clinics
- Mountain West Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251114001066 | UT | Practitioner - Family Practice | 0547751836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14211096-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Community Physicians Group | Family Medicine | Current | Accepting new patients |
| University of Utah Community Physicians Group | Current |
Accepting new patients |
Locations
1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
220 Millpond
Ste 100
Tooele, UT 84074
Phone (435) 843-3000
Interoperability endpoints
- cboufadel803408@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14211096-1205 | UT | Yes |
Addresses
Primary practice location
Stansbury Health Center (Tooeie)
220 Millpond Road, 100
Stansbury Park, UT 84074
Mailing address
Stansbury Health Center (Tooeie)
220 Millpond Road, 100
Stansbury Park, UT 84074
Phone (435) 843-3000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cboufadel803408@direct.med.utah.edu | Direct | University of Utah |
Other providers in Stansbury Park, UT
- Nathan Kristopher Anderson
- Anthony Mowrey Enterprises
- April Hinton, DDS, PC
- Brookelie Mary Baum
- Bonneville Academy
- David P Bowman
- Brightside Oral Surgery LLC
- Alexa Buerger
- Emily Carlson
- David J Clonts
All providers in Stansbury Park, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.