NPIMap

Organization Active NPI

Revere Health PC

Doing business as Revere Health

  • Orthopaedic Surgery Physician
  • Orem, UT
National Provider Identifier
1780017954
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
REVERE HEALTH PC
Doing business as
Revere Health
Practice address
700 W 800 N Ste 100
Orem, UT 84057-6302
Phone
(801) 373-7350
Fax
(801) 224-5337
NPI assigned
Aug 12, 2013
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Elizabeth Hoyt
Title
Business Office Director
Phone
(801) 354-8225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

700 W 800 N Ste 100
Orem, UT 84057-6302

Mailing address

1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Other names 1

  • Revere Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930033783 UT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7517868508 Practice locations: Orem, UT

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0973280Revere Health Orem Internal Medicine700 W 800 N, Suite 400, Orem, UT 84057Certificate of waiverApr 30, 2028

National Provider Directory

National Provider Directory
Tax ID family
Central Utah Medical CL11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Advanced Health Care of SalemSalem, UT, CCN 465189 Skilled nursing facility 5% Or Greater Direct Ownership Interest (51%)
Adp of the SNF		 Jan 25, 2016
Jun 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Ahc of Salem LLC

    dba Advanced Health Care of Salem

    • Skilled Nursing Facility
    • Salem, UT
    • NPI 1548706260

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1780017954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN: CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 800 N STE 100",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576302",
            "telephone_number": "801-373-7350",
            "fax_number": "801-224-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "HOYT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "801-354-8225"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revere Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.