Individual provider Active NPI

Jake Doyle Veigel, M.D.

  • Sports Medicine (Family Medicine) Physician
  • West Valley City, UT
National Provider Identifier
1720196785
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
344837-1205 Issued in UT
Practice address
5373 W Lake Park Blvd
West Valley City, UT 84120-8208
Phone
(801) 902-7960
Fax
(801) 902-7999
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 344837-1205 UT
Sports Medicine (Family Medicine) Physician 207QS0010X 344837 UT
Sports Medicine (Family Medicine) Physician 207QS0010X 344837-1205 UT Primary

Addresses

Primary practice location

5373 W Lake Park Blvd
West Valley City, UT 84120-8208

Mailing address

2000 S 900 E
Salt Lake City, UT 84105-3208
Phone (801) 464-7500

Other practice location 1

900 Round Valley Dr Ste 110
Park City, UT 84060-7552
Phone (435) 333-3535

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
I20061202000057 UT Practitioner - Sports MedicinePractitioner - Family Practice 2466450358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

2000 S 900
Salt Lake City, UT 84105-3208
Phone (801) 464-7788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344837-1205UTMDFamily Medicine Physician
344837UTMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Dec 16, 2013 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Dec 16, 2013 Accepting new patients
Cayuga Medical Associates, PC PastSince Sep 1, 2006 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

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

2075 University Park Blvd
Layton, UT 84041
Phone (801) 367-2775

4403 Harrison Blvd
Ste 4875
Ogden, UT 84403
Phone (801) 387-4500

2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300

4403 Harrison Blvd
Ste 4600
Ogden, UT 84403
Phone (801) 387-4500

900 Round Valley Dr
Ste 110
Park City, UT 84060
Phone (435) 333-3535

1915 W 5950 S
Roy, UT 84067
Phone (801) 387-8100

5848 S Fashion Blvd
Ste 120
Salt Lake City, UT 84107
Phone (801) 314-4100

2000 S 900 E
Slc, UT 84105
Phone (801) 446-7786

389 S 900 E
Slc, UT 84102
Phone (385) 282-2000

975 Chambers St
South Ogden, UT 84403
Phone (801) 387-6200

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

5373 W Lake Park Blvd
West Valley City, UT 84120
Phone (801) 902-7940

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 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1720196785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053208",
            "telephone_number": "801-464-7500",
            "fax_number": "801-464-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W LAKE PARK BLVD",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841208208",
            "telephone_number": "801-902-7960",
            "fax_number": "801-902-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Round Valley Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840607552",
            "country_code": "US",
            "telephone_number": "435-333-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEIGEL",
        "first_name": "JAKE",
        "middle_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "344837-1205",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "UT",
            "license": "344837",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "UT",
            "license": "344837-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.