Individual provider Active NPI

Luke Wendt, D.O.

  • Obstetrics & Gynecology Physician
  • Orem, UT
National Provider Identifier
1841618972
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11897022-1204 Issued in UT
Practice address
505 W 400 N
Orem, UT 84057-1950
Phone
(801) 714-3424
NPI assigned
Apr 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 301507 NY
Obstetrics & Gynecology Physician 207V00000X 11897022-1204 UT Primary

Addresses

Primary practice location

505 W 400 N
Orem, UT 84057-1950

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

301 Prospect Ave Ste 706
Syracuse, NY 13203-1807
Phone (315) 703-5200

Other practice location 2

1580 W Antelope Dr Ste 290
Layton, UT 84041-1179
Phone (801) 776-0880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Central Utah Clinic, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX, UT, ID, NY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20180810001492 SC Practitioner - Obstetrics/Gynecology 9032413141 Reassigns benefits to 3 organizations
I20200810001926 TX Practitioner - Obstetrics/Gynecology 9032413141 Reassigns benefits to 2 organizations
I20201006002374 UT Practitioner - Obstetrics/Gynecology 9032413141 Reassigns benefits to 3 organizations
I20241219001821 ID Practitioner - Obstetrics/Gynecology 9032413141 Reassigns benefits to 1 organization
I20241219002660 NY Practitioner - Obstetrics/Gynecology 9032413141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Nova Southeastern College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1501 Hiland Ave
Burley, ID 83318-2688
Phone (208) 678-4444

505 W 400
Orem, UT 84057-1950
Phone (801) 714-3450

Hospital & facility affiliations

  • Intermountain Health Sevier Valley Hospital Hospital, Richfield, UT, CCN 460026
  • Orem Community Hospital Hospital, Orem, UT, CCN 460043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301507NYMDLicensed Practical Nurse
11897022-1204UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Obstetrics & Gynecology CurrentSince Mar 12, 2020 Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Feb 10, 2020 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 30, 2024 Accepting new patients
Revere Health PC CurrentSince Nov 1, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 29, 2024 Accepting new patients
Roper Saint Francis Physicians Network Obstetrics & Gynecology CurrentSince Mar 12, 2020 Accepting new patients
Ihc Health Services Inc Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Permian Women'S Center, P.a Obstetrics & Gynecology CurrentSince Dec 16, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 30, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Ihc Health Services Inc CurrentSince Sep 29, 2024 Accepting new patients
St Josephs Hospital Health Center CurrentSince Jan 1, 2025 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jun 10, 2020 Accepting new patients
St Joseph'S Hospital Health Center Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Revere Health PC CurrentSince Nov 1, 2020 Accepting new patients
James T. Martin Jr. MD CurrentSince Aug 1, 2020 Accepting new patients
St. Joseph'S Pathology, PC Current Accepting new patients
St Josephs Medical PC Gynecology Past Accepting new patients
Obstetrix Medical Group of Utah, PC Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations (25 of 28)

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

9213 University Blvd
Ste A
North Charleston, SC 29406
Phone (843) 569-2900

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

405 N Tom Green Ave
Odessa, TX 79761
Phone (432) 580-8976

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 2B
Layton, UT 84041
Phone (801) 543-6850

1580 W Antelope Dr
Ste 290
Layton, UT 84041
Phone (801) 776-0880

2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

505 W 400 N
Orem, UT 84057
Phone (801) 357-7525

527 W 400 N
Orem, UT 84057
Phone (801) 221-0281

1886 W 800 N
Pleasant Grv, UT 84062
Phone (801) 756-5288

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1000 N Main St
Ste A
Richfield, UT 84701
Phone (435) 893-0580

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.654
  • Direct secure messaging: lwendt3816298@direct.trinity-health.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/abd8726a-ad55-4f85-8206-9ee9deb6ac7b/

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 2

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": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1841618972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571950",
            "telephone_number": "801-714-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Prospect Ave Ste 706",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-703-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 W Antelope Dr Ste 290",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840411179",
            "country_code": "US",
            "telephone_number": "801-776-0880",
            "fax_number": "801-773-7399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDT",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-05",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "301507",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "11897022-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Central Utah Clinic, P.C.",
            "address_1": "1886 W 800 N",
            "city": "Pleasant Grove",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840624097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.