Individual provider Active NPI

Lincoln Dyreng Nadauld, M.D., PH.D.

  • Medical Oncology Physician
  • St George, UT
National Provider Identifier
1548414097
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
7152572-1205 Issued in UT
Practice address
544 S 400 E
St George, UT 84770-3705
Phone
(435) 688-4900
NPI assigned
Nov 11, 2008
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7152572-1205 UT
Medical Oncology Physician 207RX0202X A108733 CA
Medical Oncology Physician 207RX0202X 7152572-1205 UT Primary

Addresses

Primary practice location

544 S 400 E
St George, UT 84770-3705

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 688-4900

Other practice location 1

269 Campus Dr.
CCSR 1115
Stanford, CA 94024-6032
Phone (650) 736-2399

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lincoln.nadauld@direct.imail.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130626000345 UT Practitioner - Medical Oncology 4486804614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Utah School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

201 W Layton Pkwy
Layton, UT 84041-3692
Phone (801) 543-6950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7152572-1205UTMDInternal Medicine Physician
A108733CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince May 1, 2013 Accepting new patients
Precision Cancer Consultants LLC Current Accepting new patients
Ihc Health Services Inc CurrentSince Aug 20, 2018 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc CurrentSince May 1, 2013 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Desert Springs Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000

201 W Layton Pkwy
Ste 2A
Layton, UT 84041
Phone (801) 387-7185

4403 Harrison Blvd
Ste 1670
Ogden, UT 84403
Phone (801) 387-7125

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

600 S Medical Center Dr
St George, UT 84790
Phone (435) 251-4900

Interoperability endpoints

  • Direct secure messaging: lincoln.nadauld@direct.imail.org
  • Direct secure messaging: lincoln.nadauld@imail.direct.varian.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1548414097",
    "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",
            "telephone_number": "435-688-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S 400 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703705",
            "telephone_number": "435-688-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 Campus Dr.",
            "address_2": "CCSR 1115",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "940246032",
            "country_code": "US",
            "telephone_number": "650-736-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADAULD",
        "first_name": "LINCOLN",
        "middle_name": "DYRENG",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "7152572-1205",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A108733",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "UT",
            "license": "7152572-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lincoln.nadauld@direct.imail.org",
            "affiliation": "N",
            "address_1": "544 S 400 E",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847703705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.