Individual provider Active NPI

Allen Oblad Naylor, MD

  • Family Medicine Physician
  • Murray, UT
National Provider Identifier
1295970804
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
182636-1205 Issued in UT
Practice address
5505 S 900 E Ste 240
Murray, UT 84117-7210
Phone
(801) 783-5011
Fax
(801) 746-3734
NPI assigned
Dec 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 182636-1205 UT
Family Medicine Physician 207Q00000X 182636-1205 UT Primary

Addresses

Primary practice location

5505 S 900 E Ste 240
Murray, UT 84117-7210

Mailing address

PO Box 3299
Carson City, NV 89702
Phone (844) 207-4039

Other identifiers 2

IdentifierTypeStateIssuer
942854058838MedicaidUT
P01558690-DV5339OtherUTRR MEDICARE

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
I20040304000667 UT Practitioner - Family Practice 9638066418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, 119 clinicians

Practice addresses (Care Compare)

1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 783-5011

Hospital & facility affiliations

  • Timpanogos Regional Hospital Hospital, Orem, UT, CCN 460052
  • Mountain View Hospital Hospital, Payson, UT, CCN 460013
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182636-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Jun 19, 2017 Accepting new patients
Elite Healthcare Providers LLC CurrentSince Nov 27, 2018 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Jun 19, 2017 Accepting new patients

Locations

3333 N Digital Dr
Ste 400
Lehi, UT 84043
Phone (385) 455-9299

3333 N Digital Dr
Ste 400C
Lehi, UT 84043
Phone (801) 609-6034

5505 S 900 E
Ste 240
Murray, UT 84117
Phone (801) 406-9601

2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700

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

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

Organizations & group practices 3

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 8

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": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1295970804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3299",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89702",
            "telephone_number": "844-207-4039",
            "fax_number": "775-222-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 S 900 E STE 240",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841177210",
            "telephone_number": "801-783-5011",
            "fax_number": "801-746-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "ALLEN",
        "middle_name": "OBLAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "182636-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "182636-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942854058838",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01558690-DV5339",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.