Active NPI
Alan K Sutak, MD
- Orthopaedic Surgery Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 11202037-1205
- Practice address
- 2825 E Mall Dr
St George, UT 84790-1954 - Phone
- (435) 628-9393
- Fax
- (435) 628-9382
- NPI assigned
- Jul 29, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 11202037-1205 | UT | Primary |
Addresses
Primary practice location
2825 E Mall Dr
St George, UT 84790-1954
Mailing address
1055 N 500 W
Attn: Credentialing
Provo, UT 84604
Phone (801) 354-8225
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
- Orthopedic Surgery
- Education
- Texas a & M University System, HSC, College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2825 E Mall Dr
St George, UT 84790-1954
Phone (435) 673-6131
Hospital & facility affiliations
- Mission Home Health of St. George
- Applegate Homecare
- Zion's Way Home Health
- Zion's Way Home Health
- Mesa View Home Care LLC
- St. George Regional Hospital
- Intermountain Health Cedar City Hospital
- Intermountain Health Garfield Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 69 |
| Knee replacement | 100 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 13 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11202037-1205 | UT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients |
Locations
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
2825 E Mall Dr
St George, UT 84790
Phone (435) 673-6131
1490 E Foremaster Dr
Ste 150
St George, UT 84790
Phone (435) 673-5373
Interoperability endpoints
- alansutak@cuccu.allscriptsdirect.net
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 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ogden, UT
- NPI 1649223256
-
dba Intermountain Health Garfield Memorial Hospital
- Critical Access Hospital
- Panguitch, UT
- NPI 1508836867
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Intermountain Health Cedar City Hospital
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
-
dba Zion's Way Home Health
- Home Health Agency
- St George, UT
- NPI 1588930705
-
- Home Health Agency
- Mesquite, NV
- NPI 1811174196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1679915847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "ATTN: CREDENTIALING",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-354-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 E MALL DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847901954",
"telephone_number": "435-628-9393",
"fax_number": "435-628-9382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTAK",
"first_name": "ALAN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-29",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "UT",
"license": "11202037-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.