NPIMap

Individual provider Active NPI

Michael A Codiga, MD

  • Internal Medicine Physician
  • St George, UT
National Provider Identifier
1306888219
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5758941-1205 Issued in UT
Practice address
321 N Mall Dr Ste I102
St George, UT 84790-7322
Phone
(435) 628-3651
Fax
(435) 674-7112
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 471563147 UT
Internal Medicine Physician 207R00000X AFE66682 CA
Internal Medicine Physician 207R00000X 5758941-1205 UT Primary

Addresses

Primary practice location

321 N Mall Dr Ste I102
St George, UT 84790-7322

Mailing address

321 N Mall Dr Ste I102
St George, UT 84790-7322
Phone (435) 628-3651

Other practice location 1

515 S 300 E
Ste 105
St George, UT 84770-3900
Phone (435) 628-2814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000923 UT Practitioner - Internal Medicine 8820043433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

321 N Mall Dr
Suite I102
St George, UT 84790-7322
Phone (435) 628-3651

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as individual
Quality
98.68
Improvement activities
40
Cost
67.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5758941-1205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Medical Associates PC Internal Medicine CurrentSince Aug 27, 2014 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients

Locations

321 N Mall Dr
Ste I
Saint George, UT 84790

515 S 300 E
Ste 105
St George, UT 84770
Phone (435) 628-2814

321 N Mall Dr
Ste I102
St George, UT 84790
Phone (435) 628-3651

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGJBBD/Endpoint/FGJBBD

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.

Hospital & facility affiliations 9

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1306888219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MALL DR STE I102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907322",
            "telephone_number": "435-628-3651",
            "fax_number": "435-674-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MALL DR STE I102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907322",
            "telephone_number": "435-628-3651",
            "fax_number": "435-674-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 S 300 E",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847703900",
            "country_code": "US",
            "telephone_number": "435-628-2814",
            "fax_number": "435-674-7112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODIGA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "471563147",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "AFE66682",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5758941-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.