Marvin R Allen, MD
Individual provider Active NPI Cardiovascular Disease Physician · Provo, UT
NPI 1831154566 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1831154566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 339476-1205 (UT)
- Practice address
- 395 W Cougar Blvd
Provo, UT 84604-3317 - Phone
- (801) 357-4600
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Georgetown University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revere Health PC
Practice addresses (Care Compare)
1055 N 500
Provo, UT 84604-3305
Phone (801) 373-4366
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- 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 |
|---|---|---|---|---|
| I20040401000777 | UT | Practitioner - Cardiovascular Disease (Cardiology) | 0446242192 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339476-1205 | UT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
395 W Cougar Blvd
Provo, UT 84604
Phone (801) 357-4141
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Ste 101
Provo, UT 84604
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Interoperability endpoints
- marvinallen@cuccu.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 339476-1205 | UT | Yes |
Addresses
Primary practice location
395 W Cougar Blvd
Provo, UT 84604-3317
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
1055 N 500 W
Suite 101
Provo, UT 84604-3305
Phone (801) 373-4366
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311142 | Other | UT | DMBA |
| 870281028AL1 | Other | UT | EMIA |
| 44358 | Other | UT | PEHP |
| 25-00139 | Other | UT | UNITED HEALTH CARE |
| 10242 | Other | UT | IHC |
| 870281028000 | Medicaid | UT | |
| 060042587 | Other | UT | PALMETTO |
| QM0000001423 | Other | UT | ALTIUS HEALTH PLANS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Revere Health PC | |
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
Other providers in Provo, UT
- Cassidy Allen
- Emma Elizabeth Allen
- Jason Allen
- Jason Marshall Allen
- Joshua John Allen
- Morgan Allen
- Rebecca Allen
- Spencer James Allen
- Todd Allen
- Tyler Clyff Allen
All providers in Provo, UT · Cardiovascular 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 Jun 11, 2026. 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.