Active NPI
Andrew Charles Behunin, D.O.
- Cardiovascular Disease Physician
- Draper, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 10191156-1204
- Practice address
- 74 E Kimballs LN Ste 260
Draper, UT 84020-5009 - Phone
- (801) 266-3418
- NPI assigned
- May 17, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R-09968 | IA | |
| Cardiovascular Disease Physician | 207RC0000X | DO-04712 | IA | |
| Cardiovascular Disease Physician | 207RC0000X | 10191156-1204 | UT | Primary |
Addresses
Primary practice location
74 E Kimballs LN Ste 260
Draper, UT 84020-5009
Mailing address
PO Box 741729
Atlanta, GA 30374-1729
Other practice location 1
1160 E 3900 S Ste 2000
Salt Lake City, UT 84124-1236
Phone (801) 266-3418
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abehunin64503@epicmtn.hcadirect.net |
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
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1160 E 3900
Suite 2000
Salt Lake City, UT 84124-1236
Phone (801) 266-3418
1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 268-7111
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone (801) 387-2800
5475 S 500
Ogden, UT 84405-6905
Phone (801) 479-2111
Hospital & facility affiliations
- St Mark'S Hospital
- Lone Peak Hospital
- University of Utah Hospital and Clinics
- Evanston Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 88.35
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-04712 | IA | MD | Cardiovascular Disease Physician |
| 10191156-1204 | UT | MD | Cardiovascular Disease Physician |
Organizations & group practices 1
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.
-
- Interventional Cardiology Physician
- Salt Lake City, UT
- NPI 1437446168
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Draper, UT
- NPI 1770821571
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1487734976
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
-
- General Acute Care Hospital
- Evanston, WY
- NPI 1639140015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1356634869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741729",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 E KIMBALLS LN STE 260",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205009",
"telephone_number": "801-266-3418"
}
],
"practiceLocations": [
{
"address_1": "1160 E 3900 S Ste 2000",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841241236",
"country_code": "US",
"telephone_number": "801-266-3418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEHUNIN",
"first_name": "ANDREW",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2022-01-04",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "R-09968",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "DO-04712",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "UT",
"license": "10191156-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abehunin64503@epicmtn.hcadirect.net",
"affiliation": "N",
"address_1": "1160 E 3900 S Ste 2000",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841241236",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.