Active NPI
Taj N Becker, MD
- Neurology Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 269427-1205
- Practice address
- 395 W Cougar Blvd Ste 801
Provo, UT 84604-3311 - Phone
- (801) 229-1054
- NPI assigned
- May 1, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 269427-1205 | UT | Primary |
Addresses
Primary practice location
395 W Cougar Blvd Ste 801
Provo, UT 84604-3311
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-6892
Other practice location 2
736 S 900 E
202
St George, UT 84790-7000
Phone (435) 688-7800
Other names 1
- Tajbibi Noorudin Billawala
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbecker146577@secure.stcharleshealthcare.org | ||
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone (541) 548-8131
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5338 | HI | MD | Clinical Social Worker |
| 269427-1205 | UT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Epic Corporation | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
395 W Cougar Blvd
Provo, UT 84604
Phone (801) 357-4141
395 W Cougar Blvd
Ste 801
Provo, UT 84604
Phone (801) 229-1054
544 S 400 E
St George, UT 84770
Phone (435) 688-4000
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
736 S 900 E
Ste 202
St George, UT 84790
Phone (435) 688-1152
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Interoperability endpoints
- tbecker807201@direct.med.utah.edu
Organizations & group practices 13
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
- Bend, OR
- NPI 1982621447
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- St George, UT
- NPI 1033676788
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Radiation Oncology Clinic/Center
- Portland, OR
- NPI 1093043424
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- Rural Health Clinic/Center
- Prineville, OR
- NPI 1407178528
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1497976864",
"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 COUGAR BLVD STE 801",
"city": "PROVO",
"state": "UT",
"postal_code": "846043311",
"telephone_number": "801-229-1054"
}
],
"practiceLocations": [
{
"address_1": "2500 NE Neff Rd",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977016015",
"country_code": "US",
"telephone_number": "541-706-6892",
"fax_number": "541-706-6813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "736 S 900 E",
"address_2": "202",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847907000",
"country_code": "US",
"telephone_number": "435-688-7800",
"fax_number": "435-688-7801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "TAJ",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "UT",
"license": "269427-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tbecker146577@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2500 NE Neff Rd",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977016015",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TAJBIBI",
"last_name": "BILLAWALA",
"middle_name": "NOORUDIN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.