Individual provider Active NPI

Enkhoyun Nergui, NP

  • Family Medicine Physician
  • Orem, UT
National Provider Identifier
1568037182
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7396860-3102 Issued in UT
Practice address
1429 S State St
Orem, UT 84097-7703
Phone
(801) 830-4305
Fax
(385) 336-3885
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 7396860-3102 UT Primary

Addresses

Primary practice location

1429 S State St
Orem, UT 84097-7703

Mailing address

1429 S State St
Orem, UT 84097-7703
Phone (801) 830-4305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7396860-3102UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Numed Clinic Family Medicine CurrentSince Sep 11, 2022 Accepting new patients

Locations

1429 S State St
Orem, UT 84097
Phone (801) 691-1123

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1568037182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977703",
            "telephone_number": "801-830-4305",
            "fax_number": "385-336-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977703",
            "telephone_number": "801-830-4305",
            "fax_number": "385-336-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERGUI",
        "first_name": "ENKHOYUN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7396860-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.