Raul Kem Weston, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

6955001-1205 Issued in UT

Practice address

1551 Renaissance Towne Dr Ste 460
Bountiful, UT 84010-7672

Phone

(801) 294-7246

Fax

(801) 294-2560

NPI assigned

Jun 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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 1

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Ridge Pain and Spine PCGroup PAC ID 8820262025, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.85 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

79.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Canyon Ridge Pain and Spine PC

  • Interventional Pain Medicine Physician
  • Bountiful, UT
  • NPI 1376821587
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1902066988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 460",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107672",
            "telephone_number": "801-294-7246",
            "fax_number": "801-294-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 460",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107672",
            "telephone_number": "801-294-7246",
            "fax_number": "801-294-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "RAUL",
        "middle_name": "KEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "6955001-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U000075146",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirk R Wersland, DC
• West Valley Foot & Ankle Center
• Western Anesthesia Associates LLC
• Western States Lodging & Development
• Emma Samantha Weston
• Jolene Marie Westphal
• White Sage Metabolic Studio LLC
• Cheryl Lynn White, SSW
• Melissa White
• Steven Ivan White, PA

• Anesthesiology Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Anesthesiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.

Verify at the official NPI Registry.