Raymond R. McPeek, M.D.
Individual provider Active NPI Rheumatology Physician · Ivins, UT
NPI 1760576367 · NPPES record last updated Feb 15, 2016
Key facts
- NPI
- 1760576367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 294390-1205 (UT)
- Practice address
- 779 Taviawk
Ivins, UT 84738-6416 - Phone
- (435) 674-9493
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective May 9, 2016 through May 9, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paiute Indian Tribe of Utah | Past | Accepting new patients | |
| Paiute Indian Tribe of Utah | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 294390-1205 | UT | Yes |
Addresses
Primary practice location
779 Taviawk
Ivins, UT 84738-6416
Mailing address
779 Taviawk
Ivins, UT 84738-6416
Phone (435) 674-9493
Other providers in Ivins, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.