Active NPI
John Giles
- Physician Assistant
- Logan, UT
National Provider Identifier
1477818482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 119593001206
- Practice address
- 630 E 1400 N Ste 135
Logan, UT 84341-2549 - Phone
- (435) 787-8146
- Fax
- (435) 787-8149
- NPI assigned
- Jul 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 119593001206 | UT | Primary |
Addresses
Primary practice location
630 E 1400 N Ste 135
Logan, UT 84341-2549
Mailing address
PO Box 912042
St George, UT 84791-2042
Phone (435) 215-0230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241015001588 | GU | Practitioner - Physician Assistant | 9739587437 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Guam X-Ray
Practice addresses (Care Compare)
633 Gov Carlos Camacho Rd
Suite 210
Tamuning, GU 96913
Phone (671) 649-1001
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.97 of 100
- Quality
- 68.31
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.25
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.1 of 100
- Quality
- 100
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 79.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119593001206 | UT | MD | Physician Assistant |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1477818482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 912042",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847912042",
"telephone_number": "435-215-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E 1400 N STE 135",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412549",
"telephone_number": "435-787-8146",
"fax_number": "435-787-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILES",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-06",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "119593001206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.