Individual provider Active NPI

Robert G. Durrans, M.D.

  • Family Medicine Physician
  • Orem, UT
National Provider Identifier
1447332465
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93225397-1205 Issued in UT
Practice address
501 E 770 N
Orem, UT 84097-4102
Phone
(801) 724-9840
Fax
(801) 235-1509
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 93225397-1205 UT Primary
Family Medicine Physician 207Q00000X 93225397 UT

Addresses

Primary practice location

501 E 770 N
Orem, UT 84097-4102

Mailing address

501 E 770 N
Orem, UT 84097-4102
Phone (801) 724-9840

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
I20050917000511 UT Practitioner - Family Practice 6002849114 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93225397UTMDFamily Medicine Physician
93225397-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Peaks Family Practice LC CurrentSince Sep 14, 2009 Accepting new patients

Locations

501 E 770 N
Orem, UT 84097
Phone (801) 235-1508

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447332465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974102",
            "telephone_number": "801-724-9840",
            "fax_number": "801-235-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974102",
            "telephone_number": "801-724-9840",
            "fax_number": "801-235-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRANS",
        "first_name": "ROBERT",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "93225397-1205",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "93225397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.