Individual provider Active NPI

Robert Blake Steele, M.D.

  • MOHS-Micrographic Surgery Physician
  • American Fork, UT
National Provider Identifier
1598128985
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
12675993-1205 Issued in UT
Practice address
148 S 1100 E
American Fork, UT 84003-2817
Phone
(386) 336-7461
Fax
(385) 336-7462
NPI assigned
Apr 1, 2016
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X MD470518 PA
MOHS-Micrographic Surgery Physician 207ND0101X 12675993-1205 UT Primary

Addresses

Primary practice location

148 S 1100 E
American Fork, UT 84003-2817

Mailing address

148 S 1100 E
American Fork, UT 84003-2817
Phone (386) 336-7461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 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
I20220803002674 UT Practitioner - Dermatology 9931494820 Reassigns benefits to 3 organizations
I20240705002777 ID Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9931494820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Virginia Commonwealth University, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Skin Institute LLCGroup PAC ID 0648658807, 9 clinicians
Rocky Mountain Dermatology IncGroup PAC ID 6002992906, 10 clinicians

Practice addresses (Care Compare)

147 W Chubbuck Rd
Chubbuck, ID 83202-2314
Phone (208) 238-7546

148 S 1100
American Fork, UT 84003-2817
Phone (385) 336-7461

1760 N 200
Suite 101
North Logan, UT 84341-1202
Phone (435) 787-0560

310 N 850
Suite a
Lehi, UT 84043-8623
Phone (385) 336-7461

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision109
Removal of tissue1-10
Removal of skin lesions96
Removal of skin cancer482
Skin biopsy33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12675993-1205UTMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Sports, Spine & Pain Treatment Center PLLC CurrentSince Sep 1, 2022 Accepting new patients
Stoddard & Bingham Medical of Twin Falls PLLC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Rocky Mountain Dermatology Inc Dermatology CurrentSince Nov 16, 2023 Accepting new patients
Idaho Skin Institute LLC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Steelemd Dermatology CurrentSince Aug 1, 2024 Accepting new patients

Locations

1344 Hiland Ave
Ste D
Burley, ID 83318
Phone (208) 572-6005

147 W Chubbuck Rd
Chubbuck, ID 83202
Phone (208) 238-7546

1411 Falls Ave E
Ste 1002
Twin Falls, ID 83301
Phone (208) 595-5424

148 S 1100 E
American Fork, UT 84003
Phone (801) 756-6048

1030 S Medical Dr
Ste A
Brigham City, UT 84302
Phone (435) 723-9700

310 N 850 E
Ste A
Lehi, UT 84043
Phone (385) 336-7461

680 E Main St
Ste 202
Lehi, UT 84043
Phone (801) 331-8554

1760 N 200 E
Ste 101
North Logan, UT 84341
Phone (435) 787-0560

5748 S 500 E
#B
Ogden, UT 84405
Phone (801) 827-9100

434 E 5350 S
Ste D
Washington Tr, UT 84405
Phone (435) 787-0560

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1598128985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "386-336-7461",
            "fax_number": "385-336-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "386-336-7461",
            "fax_number": "385-336-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "ROBERT",
        "middle_name": "BLAKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD470518",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "UT",
            "license": "12675993-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.