Individual provider Active NPI

Taj N Becker, MD

  • Neurology Physician
  • Provo, UT
National Provider Identifier
1497976864
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
269427-1205 Issued in UT
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

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040116000498 UT Practitioner - Neurology 6901707512 Reassigns benefits to 1 organization
I20181228002206 OR Practitioner - Neurology 6901707512 Reassigns benefits to 3 organizations
I20181228002263 WA Practitioner - Neurology 6901707512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 3870402852, 174 clinicians

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

LicenseStateTypeSpecialty
5338HIMDClinical Social Worker
269427-1205UTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. Current Accepting new patients
Legacy Clinics LLC CurrentSince Apr 23, 2020 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 23, 2020 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 29, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 29, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Nov 12, 2018 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Nov 12, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Nov 12, 2018 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 23, 2020 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.