Individual provider Active NPI

Evan Reinhardt, D.O.

  • Family Medicine Physician
  • West Jordan, UT
National Provider Identifier
1518306836
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10383926-1204 Issued in UT
Practice address
8846 S Redwood Rd
West Jordan, UT 84088-9334
Phone
(801) 569-1999
Fax
(801) 569-2001
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10383926-1204 UT Primary

Addresses

Primary practice location

8846 S Redwood Rd
West Jordan, UT 84088-9334

Mailing address

8846 S Redwood Rd
West Jordan, UT 84088-9334
Phone (801) 569-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX, LA, MD, ID, IN, CT, AL8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20170815002780 UT Practitioner - Family Practice 2567765878 Practice locations: South Jordan, UT
I20240807002639 TX Practitioner - Family Practice 2567765878
I20240916001837 LA Practitioner - Family Practice 2567765878
I20240917003029 MD Practitioner - Family Practice 2567765878
I20240923000655 ID Practitioner - Family Practice 2567765878
I20241014002479 IN Practitioner - Family Practice 2567765878
I20241016001469 CT Practitioner - Family Practice 2567765878
I20241112003019 AL Practitioner - Family Practice 2567765878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10383926-1204UTMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: evan.reinhardt.1@27998.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518306836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8846 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889334",
            "telephone_number": "801-569-1999",
            "fax_number": "801-569-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8846 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889334",
            "telephone_number": "801-569-1999",
            "fax_number": "801-569-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10383926-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.