Individual provider Active NPI

Sean Alton Kiesel, DO

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1740817535
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12375529-1204 Issued in UT
Practice address
2947 E 1450 S
St George, UT 84790-7372
Phone
(435) 688-3400
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3416 NV
Family Medicine Physician 207Q00000X 12375529-1204 UT Primary

Addresses

Primary practice location

2947 E 1450 S
St George, UT 84790-7372

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503
Phone (435) 669-0075

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220315001995 UT Practitioner - Family Practice 2860887528 Reassigns benefits to 1 organization
I20230727000853 NV Practitioner - Family Practice 2860887528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesquite Clinic Management Company LLCGroup PAC ID 8123456456, 23 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1301 Bertha Howe Ave
Mesquite, NV 89027-7503

1380 E Medical Ctr Dr
Suite 1400
St George, UT 84790-2127
Phone (435) 251-2600

577 S River Rd
St George, UT 84790-2097
Phone (435) 688-6200

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

Hospital & facility affiliations

  • Mesa View Home Care LLC Home health agency, Mesquite, NV, CCN 297160
  • Omniacare LLC Hospice, Mesquite, NV, CCN 291617
  • Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mesquite Clinic Management Company LLC CurrentSince Jun 13, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 12, 2021 Accepting new patients
Mesquite Clinic Management Company LLC CurrentSince Jun 13, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 12, 2021 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Alfaro LTD Past Accepting new patients
MMC of Nevada LLC Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

1301 Bertha Howe Ave
Ste 1
Mesquite, NV 89027
Phone (702) 346-0200

450 Hillside Dr
Ste 104
Mesquite, NV 89027
Phone (702) 345-2650

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

475 W 940 N
Provo, UT 84604
Phone (801) 357-7909

2947 E 1450 S
St George, UT 84790
Phone (435) 251-2630

577 S River Rd
St George, UT 84790
Phone (435) 688-6000

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

Interoperability endpoints

  • Direct secure messaging: sean.kiesel.1@2184.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1740817535",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 E 1450 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907372",
            "telephone_number": "435-688-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Bertha Howe Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890277503",
            "country_code": "US",
            "telephone_number": "435-669-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIESEL",
        "first_name": "SEAN",
        "middle_name": "ALTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3416",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12375529-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "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.