Reed Michael Garza, MD

Individual provider Active NPI Dermatology Physician · Salem, UT

NPI 1669715819 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1669715819
Entity type
Individual (NPI type 1)
Primary specialty
Dermatology Physician 207N00000X
License
6494466-1205 (UT)
Practice address
555 W Sr 164
Salem, UT 84653
Phone
(801) 374-8999
Fax
(801) 429-8063
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PC (407 clinicians)

Practice addresses (Care Compare)

1055 N 500
Provo, UT 84604-3305
Phone (801) 429-8000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision61
Removal of skin lesions1879
Removal or shaving of skin growth80
Skin biopsy237

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170711003376 UT Practitioner - Dermatology 7719256445 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6494466-1205UTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC Current
since Aug 14, 2017
Accepting new patients
Revere Health PC Current
since Aug 14, 2017
Accepting new patients

Locations

220 N 1200 E
Ste 203
Lehi, UT 84043
Phone (801) 418-0920

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

1055 N 500 W
Ste 111
Provo, UT 84604
Phone (801) 374-8999

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

555 W State Road 164
Salem, UT 84653
Phone (801) 465-4896

1022 N Redwood Rd
Unit 102
Saratoga Springs, UT 84045

Interoperability endpoints

  • Direct secure messaging: reedgarza@cuccu.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 6494466-1205 UT Yes

Addresses

Primary practice location

555 W Sr 164
Salem, UT 84653

Mailing address

1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Other practice location 1

1055 N 500 W Ste 111
Provo, UT 84604-3305
Phone (801) 374-8999

Other practice location 2

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-7159

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Revere Health PC

Other providers in Salem, UT

All providers in Salem, UT · Dermatology Physician in Utah

Sources for this page

Verify at the official NPI Registry.