NPIMap

Individual provider Active NPI

David Shewell, MD

  • Emergency Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1366404477
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5924736-1205 Issued in UT
Practice address
1050 E South Temple
Salt Lake City, UT 84102-1507
Phone
(801) 350-4111
NPI assigned
Apr 4, 2006
Last updated
May 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 5924736-1205 UT
Emergency Medicine Physician 207P00000X 5924736-1205 UT Primary

Addresses

Primary practice location

1050 E South Temple
Salt Lake City, UT 84102-1507

Mailing address

144 S 500 E
2ND Floor
Salt Lake City, UT 84102-1907

Other identifiers 1

IdentifierTypeStateIssuer
D6492MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051226000000 UT Practitioner - Emergency Medicine 3375565997 Reassigns benefits to 1 organization
I20070201000038 WY Practitioner - Emergency Medicine 3375565997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley View Emergency Physicians LLCGroup PAC ID 2062831373, 4 clinicians

Practice addresses (Care Compare)

190 Arrowhead Dr
Evanston, WY 82930-9266
Phone (307) 789-3636

5568 W Brud Dr
West Valley City, UT 84128-7075
Phone (801) 982-0091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
82.12
Improvement activities
40
Cost
76.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5924736-1205UTMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Evanston Hospital Corporation Past Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients
Associates for Inpatient Medicine, LLC Past Accepting new patients

Locations

190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1583/brand/2/csg/28/fhir/r4
  • Direct secure messaging: shewelld@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1366404477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S 500 E",
            "address_2": "2ND FLOOR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E SOUTH TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021507",
            "telephone_number": "801-350-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWELL",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "UT",
            "license": "5924736-1205",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "5924736-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6492",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.