Individual provider Active NPI

Tyler W Rencher, D.O.

  • Internal Medicine Physician
  • Saint George, UT
National Provider Identifier
1649614744
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9732596-1204 Issued in UT
Practice address
630 S 400 E Ste 101
Saint George, UT 84770-3765
Phone
(435) 673-9653
Fax
(435) 673-9008
NPI assigned
Apr 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9732596-1204 UT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

630 S 400 E Ste 101
Saint George, UT 84770-3765

Mailing address

292 S 1470 E Ste 200
St George, UT 84790-1764
Phone (435) 688-0759

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
I20160526001837 UT Practitioner - Internal Medicine 8820388291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

630 S 400
Suite 101
St George, UT 84770-3765
Phone (435) 673-9653

Hospital & facility affiliations

  • Integrated Senior Care Hospice (Peak Hospice) Hospice, St George, UT, CCN 461611
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9732596-1204UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Services, LLC Dba Peak Medical Services CurrentSince Sep 17, 2023 Accepting new patients
Onehealth Inc Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients

Locations

1449 N 1400 W
Ste 19
St George, UT 84770
Phone (435) 688-0759

630 S 400 E
Ste 101
St George, UT 84770
Phone (435) 656-3481

292 S 1470 E
Ste 200
St George, UT 84790
Phone (435) 688-0759

616 S River Rd
Ste 200
St George, UT 84790
Phone (435) 628-8944

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20544/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tyler.rencher.1@20544.direct.athenahealth.com

Organizations & group practices 2

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": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1649614744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S 1470 E STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901764",
            "telephone_number": "435-688-0759",
            "fax_number": "435-656-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S 400 E STE 101",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703765",
            "telephone_number": "435-673-9653",
            "fax_number": "435-673-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENCHER",
        "first_name": "TYLER",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "9732596-1204",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.