Individual provider Active NPI

David B Gubler, M.D.

  • Hospitalist Physician
  • Salt Lake City, UT
National Provider Identifier
1295797595
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
363650-1205 Issued in UT
Practice address
1160 E 3900 S
Suite 1200
Salt Lake City, UT 84124
Phone
(801) 261-9651
Fax
(801) 261-9656
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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 363650-1250 UT
Hospitalist Physician 208M00000X 363650-1205 UT Primary

Addresses

Primary practice location

1160 E 3900 S
Suite 1200
Salt Lake City, UT 84124

Mailing address

1160 E 3900 S
Ste 1200
Salt Lake City, UT 84124
Phone (801) 261-9651

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
I20100422001094 UT Practitioner - Internal Medicine 3779610779 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
363650-1250UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Physicians Care Centers PC Internal Medicine CurrentSince Jul 31, 2000 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Aug 11, 2017 Accepting new patients
Utah Physicians Care Center Internal Medicine Current Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Aug 11, 2017 Accepting new patients

Locations

5630 S Waterbury Way
Ste B102
Salt Lake Cty, UT 84121
Phone (801) 261-9651

1160 E 3900 S
Ste 1200
Slc, UT 84124
Phone (801) 261-9651

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15147/brand/1/csg/1/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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1295797595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "STE 1200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-261-9651",
            "fax_number": "801-261-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "SUITE 1200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-261-9651",
            "fax_number": "801-261-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBLER",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "363650-1250",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "363650-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.