Peter V Sundwall Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3393791205 Issued in UT

Practice address

10290 N North County Blvd
Suite 200
Highland, UT 84003-8400

Phone

(801) 899-3391

Fax

(801) 685-3266

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Utah School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Preservemd LLCGroup PAC ID 0244638104, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• American Fork Hospital Hospital, American Fork, UT, CCN 460023

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Preservemd LLC

  dba Sundwall Family Medicine

  • Family Medicine Physician
  • Highland, UT
  • NPI 1942881867
  Medicare reassignment Care Compare group NPD Authorized official
• Alpine Family Medicine LLC

  • Family Medicine Physician
  • Alpine, UT
  • NPI 1427207836
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Health Utah Valley Hospital

  • General Acute Care Hospital
  • Provo, UT
  • NPI 1114025491
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health American Fork Hospital

  • General Acute Care Hospital
  • American Fork, UT
  • NPI 1912014358
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1558470641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 N NORTH COUNTY BLVD",
            "address_2": "SUITE 200",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840031819",
            "telephone_number": "801-899-3391",
            "fax_number": "801-685-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 N NORTH COUNTY BLVD",
            "address_2": "SUITE 200",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038400",
            "telephone_number": "801-899-3391",
            "fax_number": "801-685-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDWALL",
        "first_name": "PETER",
        "middle_name": "V",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-09-23",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "3393791205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1942",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikole Decker Squires, LAT, ATC, CPT
• Steven J. Weaver, O.D. LLC (Alpine Vision Center)
• Denise Stratton, MS, CCC-SLP
• Paisley Summerhays
• Peter Michael Sundwall
• Chelsi Taylor, DNP
• Sloan M Taylor, MD
• TCFH LC
• Donavan Lewis Terranova, LMT
• Timpanogos Speech Clinic, LLC

• Family Medicine Physician in Highland, UT
• Providers in Highland, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.