Active NPI
Douglas Spence Kasteler, MD
- Family Medicine Physician
- Bountiful, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1843601205
- Practice address
- 185 S 400 E Ste 100
Bountiful, UT 84010-4862 - Phone
- (801) 397-6200
- Fax
- (801) 397-6201
- NPI assigned
- Jun 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1843601205 | UT | Primary |
Addresses
Primary practice location
185 S 400 E Ste 100
Bountiful, UT 84010-4862
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942854057086 | Medicaid | UT |
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
- Family Practice
- Education
- George Washington University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
185 S 400
Suite 100
Bountiful, UT 84010-4801
Phone (801) 397-6200
Hospital & facility affiliations
- Lakeview Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1843601205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic PC | Family Medicine | Current | Accepting new patients |
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients |
Locations
185 S 400 E
Ste 100
Bountiful, UT 84010
Phone (801) 292-5070
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
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.
-
- Family Medicine Physician
- Ogden, UT
- NPI 1578550083
-
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bountiful, UT
- NPI 1528010451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1659313583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3500",
"fax_number": "801-475-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S 400 E STE 100",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104862",
"telephone_number": "801-397-6200",
"fax_number": "801-397-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTELER",
"first_name": "DOUGLAS",
"middle_name": "SPENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "1843601205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "942854057086",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.