Individual provider Active NPI

James Michael Feeney, MD FACC

  • Interventional Cardiology Physician
  • Provo, UT
National Provider Identifier
1386624377
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
11883316-1205 Issued in UT
Practice address
395 W Bulldog Blvd
Provo, UT 84604-3311
Phone
(801) 357-7081
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G45181 CA
Interventional Cardiology Physician 207RI0011X 11883316-1205 UT Primary

Addresses

Primary practice location

395 W Bulldog Blvd
Provo, UT 84604-3311

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

11760 Central Ave Ste 204
Chino, CA 91710-1909
Phone (909) 632-1225

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ60314ZOtherCABLUE SHIELD GROUP #
GR0088110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091112000608 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951360874 Reassigns benefits to 2 organizations
I20200818002314 UT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional CardiologyPractitioner - Internal Medicine 1951360874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Creighton University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

395 W Bulldog Blvd
Provo, UT 84604
Phone (801) 357-4141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G45181CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Sep 7, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 7, 2020 Accepting new patients
James M. Feeney MD and David a Vaughan MD, a Partnership CurrentSince Jul 15, 1997 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Cardio-Vascular Associates, Inc. Cardiovascular Disease CurrentSince Oct 1, 2022 Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients

Locations

11760 Central Ave
Ste 204
Chino, CA 91710
Phone (909) 632-1225

1800 Sullivan Ave
Rm 207
Daly City, CA 94015
Phone (650) 992-0463

1800 Sullivan Ave
Rm 302
Daly City, CA 94015
Phone (650) 992-0463

601 E Yorba Linda Blvd
Ste 6
Placentia, CA 92870
Phone (714) 996-7601

1900 Royalty Dr
Ste 120
Pomona, CA 91767
Phone (909) 450-0377

98 N 1100 E
Ste 302
American Fork, UT 84003
Phone (801) 357-1620

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

380 E 1500 S
Ste 202
Heber City, UT 84032
Phone (435) 657-4600

395 W Cougar Blvd
Ste 503
Provo, UT 84604
Phone (801) 357-4600

395 W Cougar Blvd
Provo, UT 84604
Phone (801) 357-4141

Organizations & group practices 7

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 7

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1386624377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W BULLDOG BLVD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043311",
            "telephone_number": "801-357-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11760 Central Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917101909",
            "country_code": "US",
            "telephone_number": "909-632-1225",
            "fax_number": "909-632-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "MD FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G45181",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "11883316-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ60314Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0088110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.