Cole Engemann, PA

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

13777820-1206 Issued in UT

Practice address

585 E Riverside Dr Ste 201
St George, UT 84790-7277

Phone

(435) 216-7032

NPI assigned

Oct 10, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, NV, UT3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Retina Associates of Southern Utah

  • Ophthalmology Physician
  • St George, UT
  • NPI 1326307083

  AZ, NV

  Medicare reassignment NPD
• Mallavia OD PC

  • Optometrist
  • Page, AZ
  • NPI 1417169251
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1760201248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 E RIVERSIDE DR STE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907277",
            "telephone_number": "435-216-7032",
            "fax_number": "866-836-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E RIVERSIDE DR STE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907277",
            "telephone_number": "435-216-7032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Falcon Ridge Pkwy Ste 601",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890278852",
            "country_code": "US",
            "telephone_number": "435-216-7032 x1106",
            "fax_number": "866-836-9639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Great Basin Blvd",
            "address_purpose": "LOCATION",
            "city": "Ely",
            "state": "NV",
            "postal_code": "893012096",
            "country_code": "US",
            "telephone_number": "435-216-7032 x1106",
            "fax_number": "866-836-9639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1181 W Royal Hunte Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "84720",
            "country_code": "US",
            "telephone_number": "435-216-7032 x1106",
            "fax_number": "866-836-9639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 N Navajo Dr",
            "address_purpose": "LOCATION",
            "city": "Page",
            "state": "AZ",
            "postal_code": "860400950",
            "country_code": "US",
            "telephone_number": "435-216-7032 x1106",
            "fax_number": "866-836-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGEMANN",
        "first_name": "COLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "13777820-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Retina Specialist (Ophthalmology) Physician in St George, UT
• Providers in St George, UT by specialty
• Retina Specialist (Ophthalmology) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.

Verify at the official NPI Registry.