Terrill R Utt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00023440 Issued in WA

Practice address

11025 Canyon Rd E
Ste C
Puyallup, WA 98373-4264

Phone

(253) 536-1020

Fax

(253) 536-1612

NPI assigned

Jul 30, 2006

Last updated

Nov 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yakama Indian Health CenterGroup PAC ID 0749206985, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Home Health Home health agency, Yakima, WA, CCN 507115
• Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037
• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yakama Indian Health Center

  • Federal Public Health Clinic/Center
  • Toppenish, WA
  • NPI 1528105541

  TX

  Medicare reassignment Care Compare group NPD
• The Fort Defiance Indian Hospital Board, Incorporation

  dba Fort Defiance Indian Hospital

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1477876639

  TX

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountainview Home Health, LLC

  • Home Health Agency
  • Yakima, WA
  • NPI 1578583399
  Care Compare affiliation
• SHC Medical Center Toppenish

  dba Astria Toppenish Hospital

  • General Acute Care Hospital
  • Toppenish, WA
  • NPI 1851817308
  Care Compare affiliation
• Sunnyside Community Hospital Association

  dba Astria Sunnyside Hospital

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1689689242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 CANYON RD E",
            "address_2": "STE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734264",
            "telephone_number": "253-536-1020",
            "fax_number": "253-536-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 CANYON RD E",
            "address_2": "STE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734264",
            "telephone_number": "253-536-1020",
            "fax_number": "253-536-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTT",
        "first_name": "TERRILL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00023440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0202275",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111319",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00280536",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8937932",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven J Urback, DDS
• Urologic Consultants, PLLC
• Vladimir Ursul, PTA
• Usv Optical Inc.
• Charles T Utley
• V Sharma DMD, PS
• VA
• Melody Lynn Vahl
• Maria G Valdez, MD
• Veronica Valencia Victoria, PT, DPT

• Family Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.

Verify at the official NPI Registry.