Individual provider Active NPI

Andrew Charles Behunin, D.O.

  • Cardiovascular Disease Physician
  • Draper, UT
National Provider Identifier
1356634869
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10191156-1204 Issued in UT
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

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815000779 UT Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5496970188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountainstar Cardiology St Marks LLCGroup PAC ID 2961661855, 42 clinicians

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 Hospital, Salt Lake City, UT, CCN 460047
  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Evanston Regional Hospital Hospital, Evanston, WY, CCN 531319

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as individual
Quality
88.35
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-04712IAMDCardiovascular Disease Physician
10191156-1204UTMDCardiovascular 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.