Active NPI
Sean Alton Kiesel, DO
- Family Medicine Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12375529-1204
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Omniacare LLC
- Mesa View Regional Hospital
- St. George Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesquite Clinic Management Company LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Mesquite Clinic Management Company LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Internal Medicine Physician
- Mesquite, NV
- NPI 1548800501
-
- Maternal & Fetal Medicine Physician
- Provo, UT
- NPI 1740581545
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Rural Health Clinic/Center
- Logandale, NV
- NPI 1982275236
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- Surgery Physician
- Mesquite, NV
- NPI 1467787192
-
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- Home Health Agency
- Mesquite, NV
- NPI 1811174196
-
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
-
- Community Based Hospice Care Agency
- Mesquite, NV
- NPI 1902402894
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.