Michael Thomas Giovanniello, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

49069701205 Issued in UT

Practice address

10011 S Centennial Pkwy
Ste 500
Sandy, UT 84070

Phone

(801) 676-7627

Fax

(801) 676-7630

NPI assigned

Jan 23, 2006

Last updated

Mar 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Pain Management, Sports Medicine

Education

State University of New York at Buffalo School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tanner Memorial ClinicGroup PAC ID 4284547985, 251 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• UT PPO

Interoperability endpoints

• Direct secure messaging: michael.giovanniello.p1@direct.tannerclinic.nextgenshare.com

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.

• Tanner Memorial Clinic

  • Internal Medicine Physician
  • Layton, UT
  • NPI 1447239355
  Medicare reassignment Care Compare group NPD
• Advanced Spine and Pain PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Draper, UT
  • NPI 1437627080
  Medicare reassignment NPD
• Evergreen Medical, Inc.

  dba the SMART Clinic

  • Physical Medicine & Rehabilitation Physician
  • Draper, UT
  • NPI 1316160534
  Medicare reassignment NPD
• Tanner Memorial Clinic

  dba Tanner Clinic Layton South

  • Multi-Specialty Clinic/Center
  • Layton, UT
  • NPI 1538951165
  NPD
• Tanner Memorial Clinic

  • Gastroenterology Physician
  • Ogden, UT
  • NPI 1609406511
  NPD
• Rosenberg Cooley Metcalf LC

  dba The Orthopedic Partners

  • Orthopaedic Surgery Physician
  • Park City, UT
  • NPI 1649374216
  NPD (past)
• The Smart Clinic

  • Physical Medicine & Rehabilitation Physician
  • Park City, UT
  • NPI 1477269199
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1285604462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 S CENTENNIAL PKWY",
            "address_2": "STE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84070",
            "telephone_number": "801-676-7627",
            "fax_number": "801-676-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 S CENTENNIAL PKWY",
            "address_2": "STE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84070",
            "telephone_number": "801-676-7627",
            "fax_number": "801-676-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANNIELLO",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "49069701205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316160534",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Gienger, MS, AMFT
• Jonathan L Gilbert
• John Lawrence Gililland Jr., M.D.
• Kasidee Shae Gilmore
• Keyton R Gines, M.ED, LAT, ATC, CES
• Joseph Hobson Gitt, MD
• Gretchen Givone, L.M.T., C.D.T.
• Mark Hamilton Glade, L.C.S.W.
• Tiffany S Glasgow, MD
• Tony Holbrook Glazier II

• Physical Medicine & Rehabilitation Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.