Individual provider Active NPI

Phillip Oberg, DO

  • Gastroenterology Physician
  • St George, UT
National Provider Identifier
1780174557
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6069280-1204 Issued in UT
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

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230503003130 NV Practitioner - Internal Medicine 4981069549 Reassigns benefits to 1 organization
I20240522003280 UT Practitioner - Gastroenterology 4981069549 Reassigns benefits to 1 organization

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
Utah Gastroenterology LLCGroup PAC ID 9830174150, 71 clinicians

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 100Reported as group
Quality
47.08
Promoting interoperability
95
Improvement activities
40
Cost
75.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy277
Upper gastrointestinal (GI) endoscopy for acid reflux334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SL1352NVMDInternal Medicine Physician
6069280-1204UTMDGastroenterology Physician
DO2870NVMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Jan 28, 2023 Accepting new patients
Utah Gastroenterology Single Specialty CurrentSince Jul 8, 2024 Accepting new patients
Utah Gastroenterology LLC Single Specialty CurrentSince Jul 8, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.