Individual provider Active NPI

Seth Allred Riddle, M.D.

  • Otolaryngology Physician
  • Provo, UT
National Provider Identifier
1598701955
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
357240-1205 Issued in UT
Practice address
1055 N 300 W
Suite 401
Provo, UT 84604-3344
Phone
(801) 357-7499
Fax
(801) 373-5980
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 357240-1205 UT Primary
Facial Plastic Surgery Physician 207YS0123X 357240-1205 UT

Addresses

Primary practice location

1055 N 300 W
Suite 401
Provo, UT 84604-3344

Mailing address

1055 N 300 W
Suite 401
Provo, UT 84604-3344
Phone (801) 357-7499

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
I20040531000002 UT Practitioner - Otolaryngology 2567443963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Utah School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak ENT AssociatesGroup PAC ID 4284781543, 20 clinicians

Practice addresses (Care Compare)

1055 N 300 W
Suite 401
Provo, UT 84604-3306
Phone (801) 357-7499

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak ENT Associates Otolaryngology CurrentSince Apr 1, 2009 Accepting new patients
Glacier Ear Nose and Throat Head and Neck Surgery PC Otolaryngology PastSince Aug 28, 2006 Accepting new patients
Logan Health - Whitefish Past Accepting new patients
Ogden Audiology Services LLC PastSince May 5, 2025 Accepting new patients
Seth a Riddle, M.D. P.C. Otolaryngology PastSince Jul 1, 1998 Accepting new patients

Locations

3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070

3668 W 2150 N
Ste 300
Lehi, UT 84048

48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

619 N 500 W
Provo, UT 84601
Phone (801) 420-0465

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

1055 N 300 W
Ste 311
Provo, UT 84604
Phone (385) 477-6800

1055 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 852-9684

1055 N 300 W
Ste 303
Provo, UT 84604
Phone (801) 356-1300

1055 N 300 W
Ste 308
Provo, UT 84604
Phone (801) 357-7327

1055 N 300 W
Ste 302
Provo, UT 84604
Phone (801) 357-2534

692 E Market Place Dr
Ste 201
Spanish Fork, UT 84660
Phone (385) 448-0446

Interoperability endpoints

  • Direct secure messaging: seth.riddle@1158.chartlogic.direct-ci.com
  • Direct secure messaging: seth.riddle.1@17226.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGIEDD

Organizations & group practices 5

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 3

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1598701955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "SUITE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043344",
            "telephone_number": "801-357-7499",
            "fax_number": "801-373-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "SUITE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043344",
            "telephone_number": "801-357-7499",
            "fax_number": "801-373-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "SETH",
        "middle_name": "ALLRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "357240-1205",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "UT",
            "license": "357240-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.