Individual provider Active NPI

Derek Levoy Haight

  • Pain Medicine (Anesthesiology) Physician
  • Draper, UT
National Provider Identifier
1588028401
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
13612301-1205 Issued in UT
Practice address
96 E Kimballs LN Ste 408
Draper, UT 84020-5021
Phone
(801) 572-1186
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 13612301-1205 UT Primary

Addresses

Primary practice location

96 E Kimballs LN Ste 408
Draper, UT 84020-5021

Mailing address

96 E Kimballs LN Ste 408
Draper, UT 84020-5021
Phone (801) 572-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210317001503 TX Practitioner - Anesthesiology 3173819786 Reassigns benefits to 1 organization
I20240502001813 UT Practitioner - Pain ManagementPractitioner - Anesthesiology 3173819786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Texas Medical School at Houston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain PLLCGroup PAC ID 4183966278, 9 clinicians

Practice addresses (Care Compare)

96 E Kimballs LN
Suite 408
Draper, UT 84020-5021
Phone (801) 572-1186

Hospital & facility affiliations

  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060
  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
67.62
Promoting interoperability
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13612301-1205UTMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain PLLC Pain Medicine CurrentSince Jun 1, 2024 Accepting new patients
Utmb Faculty Group Practice CurrentSince Mar 3, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

301 University Blvd
#5504
Galveston, TX 77555
Phone (409) 266-7811

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2240 Gulf Fwy S
Ste 3704
League City, TX 77573
Phone (832) 505-1234

11760 S 700 E
Ste 112
Draper, UT 84020
Phone (801) 572-1186

96 E Kimballs Ln
Ste 408
Draper, UT 84020
Phone (801) 572-1186

1209 N Main St
#B
Tooele, UT 84074
Phone (801) 572-1186

Interoperability endpoints

  • Direct secure messaging: derek.haight@direct.thibodaux.la-hie.org

Organizations & group practices 3

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.

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1588028401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 E KIMBALLS LN STE 408",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205021",
            "telephone_number": "801-572-1186",
            "fax_number": "801-572-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 E KIMBALLS LN STE 408",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205021",
            "telephone_number": "801-572-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIGHT",
        "first_name": "DEREK",
        "middle_name": "LEVOY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "13612301-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.