Individual provider Active NPI

Derrick Haslem, MD

  • Hematology & Oncology Physician
  • St George, UT
National Provider Identifier
1730389701
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
6020533-1205 Issued in UT
Practice address
544 S 400 E
St George, UT 84770-3705
Phone
(435) 688-4900
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6020533-1205 UT
Hematology & Oncology Physician 207RH0003X 6020533-1205 UT Primary

Addresses

Primary practice location

544 S 400 E
St George, UT 84770-3705

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 688-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address derrick.haslem@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090803000305 UT Practitioner - Hematology/Oncology 1658424049 Reassigns benefits to 2 organizations
I20240903002993 NV Practitioner - Hematology/Oncology 1658424049 Reassigns benefits to 1 organization
I20251217003997 MT Practitioner - Hematology/Oncology 1658424049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Utah School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

544 S 400
St George, UT 84770-3705
Phone (435) 634-9850

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021
  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6020533-1205UTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 1, 2009 Accepting new patients
Intermountain Medical Holdings Nevada Inc Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Northeastern Utah Medical Group CurrentSince Jul 26, 2019 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Oct 1, 2024 Accepting new patients
Northeastern Utah Medical Group Internal Medicine CurrentSince Jul 26, 2019 Accepting new patients
Ihc Health Services Inc Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Nov 4, 2025 Accepting new patients
Ihc Health Services Inc Hematology & Oncology Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

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

201 W Layton Pkwy
Ste 2A
Layton, UT 84041
Phone (801) 387-7185

1281 N 600 E
Logan, UT 84341
Phone (435) 716-6400

4403 Harrison Blvd
Ste 1670
Ogden, UT 84403
Phone (801) 387-7125

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

5171 S Cottonwood St
Ste 610
Salt Lake City, UT 84107
Phone (801) 507-3630

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

600 S Medical Center Dr
St George, UT 84790
Phone (435) 251-4900

Interoperability endpoints

  • Direct secure messaging: derrick.haslem@imail.direct.varian.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Intermountain Health Cedar City HospitalCedar City, UT, CCN 460007 Hospital Corporate Director Jan 1, 2023
Intermountain Health St George Regional HospitalSt George, UT, CCN 460021 Hospital Corporate Director Jan 1, 2023
Ihc Health Services IncSt George, UT, CCN 46T021 Hospital Corporate Director Jan 1, 2023
Intermountain Health Garfield Memorial HospitalPanguitch, UT, CCN 461333 Hospital Corporate Director Jan 1, 2023
Intermountain Health Garfield Memorial HospitalPanguitch, UT, CCN 46Z333 Hospital Corporate Director Jan 1, 2023
Intermountain Health Homecare - Silverado RanchLas Vegas, NV, CCN 297155 Home health agency Corporate Director Aug 21, 2023
Bryce Valley ClinicCannonville, UT, CCN 463981 Rural health clinic Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1730389701",
    "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": "435-688-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S 400 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703705",
            "telephone_number": "435-688-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLEM",
        "first_name": "DERRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "6020533-1205",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "UT",
            "license": "6020533-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derrick.haslem@direct.imail.org",
            "affiliation": "N",
            "address_1": "544 S 400 E",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847703705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.