Individual provider Active NPI

Allan Warren Belcher, D.O.

  • Internal Medicine Physician
  • Murray, UT
National Provider Identifier
1356634059
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5819906-1204 Issued in UT
Practice address
5505 S 900 E Ste 240
Murray, UT 84117-7210
Phone
(801) 783-5011
Fax
(801) 746-3438
NPI assigned
May 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 5819906-1204 UT
Internal Medicine Physician 207R00000X 5819906-1204 UT Primary

Addresses

Primary practice location

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

Mailing address

PO Box 3299
Carson City, NV 89702-3299
Phone (801) 783-5011

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180430000308 UT Practitioner - Hospitalist 5395058077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2011
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)

3460 S Pioneer Pkwy
West Valley, UT 84120-2049
Phone (801) 783-5011

5475 S 500
Ogden, UT 84405-6905
Phone (801) 783-5011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
51.49 of 100Reported as individual
Quality
33.51
Improvement activities
40
Cost
43.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5819906-1204UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Apr 19, 2018 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Apr 19, 2018 Accepting new patients
Ashley Valley Physician Practice, LLC Internal Medicine CurrentSince Sep 14, 2018 Accepting new patients
Dr. Belcher, PLLC Internal Medicine Current Accepting new patients
Ashley Valley Physician Practice LLC CurrentSince Sep 14, 2018 Accepting new patients

Locations

111 W Telegraph St
Ste 200
Carson City, NV 89703
Phone (775) 222-0044

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

175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053

150 W 100 N
Ste S103
Vernal, UT 84078
Phone (435) 781-1011

150 W 100 N
Ste 102S
Vernal, UT 84078
Phone (435) 781-2161

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

Interoperability endpoints

  • Direct secure messaging: eld6763@yourcarecommunity.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1356634059",
    "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": "897023299",
            "telephone_number": "801-783-5011",
            "fax_number": "801-746-3438"
        },
        {
            "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": "801-746-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "ALLAN",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "5819906-1204",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5819906-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.