Active NPI
Phillip Oberg, DO
- Gastroenterology Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 6069280-1204
- Practice address
- 368 E Riverside Dr Ste a
St George, UT 84790-6897 - Phone
- (435) 673-1149
- NPI assigned
- May 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | SL1352 | NV | |
| General Practice Physician | 208D00000X | DO2870 | NV | |
| Gastroenterology Physician | 207RG0100X | 6069280-1204 | UT | Primary |
Addresses
Primary practice location
368 E Riverside Dr Ste a
St George, UT 84790-6897
Mailing address
1187 E 3900 S
Salt Lake City, UT 84124-1201
Phone (435) 673-1149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, UT
- 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
- Gastroenterology
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
368 E Riverside Dr
Suite a
St George, UT 84790-6897
Phone (435) 673-1149
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.45 of 100
- Quality
- 47.08
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.26
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 277 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 334 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL1352 | NV | MD | Internal Medicine Physician |
| 6069280-1204 | UT | MD | Gastroenterology Physician |
| DO2870 | NV | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Single Specialty | Current | Accepting new patients |
| Utah Gastroenterology | Single Specialty | Current | Accepting new patients |
| Utah Gastroenterology LLC | Single Specialty | Current | Accepting new patients |
| Utah Gastroenterology LLC | Single Specialty | Current | Accepting new patients |
| Utah Gastroenterology LLC | Single Specialty | Current | Accepting new patients |
| Utah Gastroenterology LLC | Single Specialty | Past | Accepting new patients |
Locations
701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1871689562
Single Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
NV, Single Specialty
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1972510717
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
-
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1780174557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 E 3900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241201",
"telephone_number": "435-673-1149",
"fax_number": "435-673-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 E RIVERSIDE DR STE A",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906897",
"telephone_number": "435-673-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERG",
"first_name": "PHILLIP",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-16",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "SL1352",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NV",
"license": "DO2870",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "UT",
"license": "6069280-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 1, 2024; 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.