Individual provider Active NPI

David Earl Perry, DO

  • Cardiovascular Disease Physician
  • Provo, UT
National Provider Identifier
1295029528
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10158730-1204 Issued in UT
Practice address
1055 N 500 W Ste 101
Provo, UT 84604-3305
Phone
(801) 373-4366
NPI assigned
Jun 3, 2011
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10158730-1204 UT
Cardiovascular Disease Physician 207RC0000X 10158730-1204 UT Primary

Addresses

Primary practice location

1055 N 500 W Ste 101
Provo, UT 84604-3305

Mailing address

1055 N 500 W Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Other practice location 1

972 N 600 E
Spanish Fork, UT 84660-1306
Phone (801) 373-4366

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811002287 UT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6305069501 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Castleview Physician Practice LLCGroup PAC ID 6305995598, 17 clinicians

Practice addresses (Care Compare)

1055 N 500
Provo, UT 84604-3305
Phone (801) 429-8000

1100 S Medical Dr
Sanpete Valley Hosp Phys GRP
Mt Pleasant, UT 84647-2222
Phone (435) 462-2441

300 N Hospital Dr
Price, UT 84501-4218
Phone (435) 637-4800

395 W Bulldog Blvd
Suite 503
Provo, UT 84604-3323
Phone (801) 374-9100

Hospital & facility affiliations

  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023
  • Castleview Hospital Hospital, Price, UT, CCN 460011
  • Intermountain Health Spanish Fork Hospital Hospital, Spanish Fork, UT, CCN 460062
  • Intermountain Health Sevier Valley Hospital Hospital, Richfield, UT, CCN 460026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jan 4, 2026 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 28, 2018 Accepting new patients
Revere Health PC CurrentSince Aug 21, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 28, 2018 Accepting new patients
Castleview Physician Practice LLC Current Accepting new patients
Castleview Physician Practice, LLC CurrentSince Oct 10, 2025 Accepting new patients
Ihc Health Services Inc Internal Medicine Current Accepting new patients
Castleview Physician Practice, LLC CurrentSince Oct 10, 2025 Accepting new patients
Revere Health PC CurrentSince Aug 21, 2017 Accepting new patients

Locations

98 N 1100 E
Ste 302
American Fork, UT 84003
Phone (801) 357-7081

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

1225 E Fort Union Blvd
Ste 315
Midvale, UT 84047
Phone (801) 233-4100

1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441

300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836

945 W Hospital Dr
Ste 1
Price, UT 84501
Phone (435) 637-4327

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

395 W Cougar Blvd
Provo, UT 84604
Phone (801) 357-4141

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

1055 N 500 W
Ste 101
Provo, UT 84604

395 W Cougar Blvd
Ste 503
Provo, UT 84604
Phone (801) 357-4600

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

972 N 600 E
Spanish Fork, UT 84660
Phone (385) 265-6060

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Interoperability endpoints

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

Organizations & group practices 10

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 7

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1295029528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W 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": "1055 N 500 W STE 101",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-373-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "972 N 600 E",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846601306",
            "country_code": "US",
            "telephone_number": "801-373-4366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DAVID",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "10158730-1204",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "10158730-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Revere Health PC",
            "address_1": "1055 N 500 W Ste 101",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846043305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.