Active NPI
Howard Lee Chamberlain, M.D.
- Family Medicine Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 294180-1205
- Practice address
- 736 S 900 E Ste 203
St George, UT 84790-7003 - Phone
- (435) 673-6131
- Fax
- (435) 673-8557
- NPI assigned
- Aug 20, 2006
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 294180-1205 | UT | Primary |
| Family Medicine Physician | 207Q00000X | 95-294180-1205 | UT |
Addresses
Primary practice location
736 S 900 E Ste 203
St George, UT 84790-7003
Mailing address
1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1492 | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
736 S 900
Suite 203
St George, UT 84790-7003
Phone (435) 673-6131
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 25 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95-294180-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Southwest Utah Community Health Center | Past | Accepting new patients | |
| Southwest Utah Community Health Center | Family Medicine | Past | Accepting new patients |
| Southwest Utah Community Health Center | Past | Accepting new patients |
Locations
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
2825 E Mall Dr
St George, UT 84790
Phone (435) 673-6131
736 S 900 E
Ste 203
St George, UT 84790
Phone (435) 673-6131
Interoperability endpoints
- howardchamberlain@cuccu.allscriptsdirect.net
Organizations & group practices 5
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.
-
dba Family Healthcare
- Federally Qualified Health Center (FQHC)
- Springdale, UT
- NPI 1275314528
-
dba Family Healthcare
- Federally Qualified Health Center (FQHC)
- St George, UT
- NPI 1659358687
Family Medicine
-
dba Family Healthcare
- Federally Qualified Health Center (FQHC)
- Hurricane, UT
- NPI 1780090944
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Zion's Way Home Health
- Home Health Agency
- St George, UT
- NPI 1588930705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1306951504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "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": "736 S 900 E STE 203",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907003",
"telephone_number": "435-673-6131",
"fax_number": "435-673-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "HOWARD",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2023-11-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "294180-1205",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "95-294180-1205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D1492",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medreview@reverehealth.com",
"affiliation": "Y",
"affiliationName": "Revere Health PC",
"address_1": "736 S 900 E Ste 203",
"city": "St George",
"state": "UT",
"country_code": "US",
"postal_code": "847907003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.