Active NPI
Peter Hale, M.D.
- Medical Oncology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- M-16598
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2121
- NPI assigned
- Mar 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 1376905497 | UT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Oncology Physician | 207RX0202X | M-16598 | ID | Primary |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
637 S Main St
Bountiful, UT 84010-6364
Phone (435) 994-8215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- 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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1957 E 17TH St
Idaho Falls, ID 83404-6429
Phone (208) 523-1100
Hospital & facility affiliations
- Advanced Home Health
- Mountain View Hospital
- Idaho Falls Community Hospital, LLC
- Eastern Idaho Regional Medical Center
- Star Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1376905497 | UT | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Hospital LLC | Single Specialty | Current | Accepting new patients |
| Mountain View Hospital Physician Organization | Past | Accepting new patients | |
| MVH BMC LLC | Past | Accepting new patients |
Locations
1441 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600
1425 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600
2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000
1957 E 17th St
Idaho Falls, ID 83404
Phone (208) 523-1100
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
150 Vista Dr
Pocatello, ID 83201
Phone (208) 232-2146
380 Walker Dr
Rexburg, ID 83440
Phone (208) 356-9559
Interoperability endpoints
- phale@tetoncancer.direct.varian.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
Single Specialty
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
-
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1467816579
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1366686826
-
- Home Health Agency
- Pocatello, ID
- NPI 1457858052
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1376905497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 S MAIN ST",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106364",
"telephone_number": "435-994-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-581-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2022-10-25",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "UT",
"license": "1376905497",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "ID",
"license": "M-16598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.