Individual provider Active NPI

Devin Timothy Rhodes, PA-C

  • Physician Assistant
  • Taylorsville, UT
National Provider Identifier
1730655994
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11010003-1206 Issued in UT
Practice address
3845 W 4700 S
Taylorsville, UT 84129-3454
Phone
(801) 840-2000
NPI assigned
Oct 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11010003-1206 UT Primary

Addresses

Primary practice location

3845 W 4700 S
Taylorsville, UT 84129-3454

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

610 S 200 E Ste B
Salt Lake City, UT 84111-3802
Phone (801) 539-8617

Other names 1

  • Devin Earl Timothy Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221002485 UT Practitioner - Physician Assistant 5991044703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
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)

3845 W 4700
Taylorsville, UT 84129-3454
Phone (801) 840-8444

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Feb 10, 2025 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Dec 2, 2019 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Dec 2, 2019 Accepting new patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Feb 10, 2025 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

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

610 S 200 E
Ste B
Salt Lake City, UT 84111
Phone (801) 539-8617

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

Organizations & group practices 7

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1730655994",
    "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",
            "fax_number": "877-497-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 W 4700 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841293454",
            "telephone_number": "801-840-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S 200 E Ste B",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841113802",
            "country_code": "US",
            "telephone_number": "801-539-8617",
            "fax_number": "877-497-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "DEVIN",
        "middle_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11010003-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVIN",
            "last_name": "TIMOTHY",
            "middle_name": "EARL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.