Terrence Wayne Andrews, DO
Individual provider Active NPI Pulmonary Disease Physician · South Ogden, UT
NPI 1811258601 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1811258601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 10655975-1204 (UT)
- Practice address
- 5957 Fashion Point Dr Ste 103
South Ogden, UT 84403-5180 - Phone
- (385) 492-4930
- Fax
- (385) 492-4449
- NPI assigned
- Jun 7, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ogden Pulmonary Associates PLLC
Pocatello Health Services LLC
Practice addresses (Care Compare)
2132 N 1700
Suite 307
Layton, UT 84041-7077
Phone (801) 807-7755
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111
777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1720
Hospital & facility affiliations
- Ogden Regional Medical Center
- Portneuf Medical Center
- Eastern Idaho Regional Medical Center
- Holy Cross Hospital-Davis
- Intermountain Health McKay-Dee Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180501000963 | UT | Practitioner - Critical Care (Intensivists) |
0648592386 | Reassigns benefits to 1 organization |
| I20180501001034 | ID | Practitioner - Critical Care (Intensivists) |
0648592386 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL0882 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current |
Accepting new patients | |
| Ogden Pulmonary Associates PLLC | Critical Care Medicine | Current |
Accepting new patients |
| Pocatello Health Services, LLC | Current |
Accepting new patients | |
| Idaho Falls Community Hospital LLC | Current |
Accepting new patients |
Locations
3270 E 17th St
Ammon, ID 83406
Phone (208) 534-6568
2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000
2132 N Robins Dr
Ste 307
Layton, UT 84041
Phone (801) 807-7755
5957 Fashion Point Dr
Ste 103
South Ogden, UT 84403
Phone (385) 492-4930
5957 Fashion Point Dr
South Ogden, UT 84403
Phone (385) 492-4930
Interoperability endpoints
- tandrews262056@ahs.direct-ci.com
- andrews.terrence@150677.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | O-1137 | ID | |
| Internal Medicine Physician | 207R00000X | SL0882 | NV | |
| Pulmonary Disease Physician | 207RP1001X | 10655975-1204 | UT | Yes |
Addresses
Primary practice location
5957 Fashion Point Dr Ste 103
South Ogden, UT 84403-5180
Mailing address
PO Box 150627
Ogden, UT 84415-0627
Phone (385) 492-4930
Other providers in South Ogden, UT
- Aidrey Anderson
- Christopher K Anderson
- Kayla Anderson
- Amy Carol Andrews
- Maximillian Andrews
- Applied Behavior Connections LLC
- Hannah Archibald
- Larissa Ferne Archuleta
- Arrivals Birth Services
- Arthur and Judy Smith, LLC
All providers in South Ogden, UT · Pulmonary Disease Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.