Individual provider Active NPI

Donya Mohebali

  • Advanced Heart Failure and Transplant Cardiology Physician
  • St George, UT
National Provider Identifier
1669886164
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
12235977-1205 Issued in UT
Practice address
1380 E Medical Center Dr Ste 1500
St George, UT 84790-2128
Phone
(435) 251-2500
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12235977-1205 UT
Student in an Organized Health Care Education/Training Program 390200000X 260400 MA
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 12235977-1205 UT Primary

Addresses

Primary practice location

1380 E Medical Center Dr Ste 1500
St George, UT 84790-2128

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 251-2500

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
I20210813002178 UT Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5890003586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Utah School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1380 E Medical Ctr Dr
Suite 1500
St George, UT 84790-2128
Phone (435) 251-2500

5171 S Cottonwood St
Suite 305
Murray, UT 84107-5704
Phone (801) 507-9310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12235977-1205UTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Sep 22, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 16, 2021 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 16, 2021 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5171 S Cottonwood St
Ste 305
Salt Lake City, UT 84107
Phone (801) 507-9310

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

5171 S Cottonwood St
South Salt Lake, UT 84107
Phone (801) 507-4000

1380 E Medical Center Dr
Ste 1500
St George, UT 84790
Phone (435) 251-2500

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

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 1

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1669886164",
    "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",
            "telephone_number": "435-251-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR STE 1500",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902128",
            "telephone_number": "435-251-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHEBALI",
        "first_name": "DONYA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "12235977-1205",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "260400",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "UT",
            "license": "12235977-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.