Active NPI
Anthony Ivan Beutler, MD
- Sports Medicine (Family Medicine) Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 11282296-1205
- Practice address
- 1157 N 300 W Ste 201
Provo, UT 84604-6124 - Phone
- (801) 357-1200
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 01052416A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 11282296-1205 | UT | Primary |
Addresses
Primary practice location
1157 N 300 W Ste 201
Provo, UT 84604-6124
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
4301 Jones Bridge Road
FAP/A-1038/Uniformed Services University
Bethesda, MD 20814-4712
Phone (301) 295-3632
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Duke University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1157 N 300
Provo, UT 84604-6124
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
- Intermountain Health Utah Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11282296-1205 | UT | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
98 N 1100 E
Ste 103
American Fork, UT 84003
Phone (801) 492-2330
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1157 N 300 W
Ste 201
Provo, UT 84604
Phone (801) 357-1200
181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266
5848 S Fashion Blvd
Ste 120
Salt Lake City, UT 84107
Phone (801) 314-4100
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Family Medicine Physician
- American Fork, UT
- NPI 1437532595
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1609957778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 N 300 W STE 201",
"city": "PROVO",
"state": "UT",
"postal_code": "846046124",
"telephone_number": "801-357-1200"
}
],
"practiceLocations": [
{
"address_1": "4301 Jones Bridge Road",
"address_2": "FAP/A-1038/Uniformed Services University",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208144712",
"country_code": "US",
"telephone_number": "301-295-3632",
"fax_number": "301-295-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEUTLER",
"first_name": "ANTHONY",
"middle_name": "IVAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IN",
"license": "01052416A",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "UT",
"license": "11282296-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.