Karl Breitenbach, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

85-173193-1205 Issued in UT

Practice address

379 North 500 West
Suite 1a
Vernal, UT 84078

Phone

(435) 789-1165

Fax

(435) 789-1169

NPI assigned

Oct 4, 2006

Last updated

Apr 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

University of Missouri, Kansas City, School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Utah Medical GroupGroup PAC ID 2961496609, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Canyon Home Care Home health agency, Murray, UT, CCN 467226
• Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019
• Ashley Regional Medical Center Hospital, Vernal, UT, CCN 460030

Merit-based Incentive Payment System (MIPS)

Final score

89.32 of 100Reported as apm

Quality

71.89

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hpo9374@yourcarecommunity.org

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.

• Northeastern Utah Medical Group

  • Family Medicine Physician
  • Roosevelt, UT
  • NPI 1982664199
  Medicare reassignment Care Compare group NPD
• Tricounty Health Department

  • Public Health or Welfare Agency
  • Vernal, UT
  • NPI 1093482770
  Medicare reassignment NPD
• Northeastern Utah Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Roosevelt, UT
  • NPI 1740482009
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashley Valley Medical Center LLC

  dba Ashley Regional Medical Center

  • General Acute Care Hospital
  • Vernal, UT
  • NPI 1447296249
  Care Compare affiliation
• Home Caregivers Partnership, LLC

  dba Canyon Home Care

  • Home Health Agency
  • Murray, UT
  • NPI 1306899265
  Care Compare affiliation
• Uintah Basin Medical Center

  • General Acute Care Hospital
  • Roosevelt, UT
  • NPI 1871556217
  Care Compare affiliation
• Uintah Basin Medical Center

  dba Uintah Basin Medical Center Vernal

  • General Acute Care Hospital
  • Vernal, UT
  • NPI 1881447571
  Care Compare affiliation
• Uintah Basin Medical Center

  dba UBMC Physical Therapy

  • Physical Therapy Clinic/Center
  • Ballard, UT
  • NPI 1912750662

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1457447906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 NORTH 500 WEST",
            "address_2": "SUITE 1A",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "84078",
            "telephone_number": "435-789-1165",
            "fax_number": "435-789-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 NORTH 500 WEST",
            "address_2": "SUITE 1A",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "84078",
            "telephone_number": "435-789-1165",
            "fax_number": "435-789-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITENBACH",
        "first_name": "KARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "85-173193-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew C Bowen, D.O.
• Brenda J Bowman, LCSW
• Andrus Boyd
• Dustin Todd Bradley
• Scott T Brady, DC
• Brian W Spendlove DDS PC
• Jessica Briggs, LCSW
• Bright Minds Developmental Center, LLC
• Nathan Ryan Britt, BCBA, LBA-UT
• Mark Christian Brixey, D.C.

• Family Medicine Physician in Vernal, UT
• Providers in Vernal, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.

Verify at the official NPI Registry.