Active NPI
David Alan Nichols, MD
- Internal Medicine Physician
- Provo, UT
National Provider Identifier
1902893993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1847671205
- Practice address
- 1034 N 500 W Ste 101
Provo, UT 84604-3380 - Phone
- (801) 357-8310
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1847671205 | UT | Primary |
Addresses
Primary practice location
1034 N 500 W Ste 101
Provo, UT 84604-3380
Mailing address
284 N Hospital Dr
Ste 2
Price, UT 84501-4235
Phone (435) 613-1450
Other practice location 1
284 N Hospital Dr
Ste 2
Price, UT 84501-4235
Phone (435) 613-1450
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.nichols@direct.imail.org |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051230000661 | UT | Practitioner - Hospitalist | 2466474622 |
Reassigns benefits to 2 organizations Practice locations: Price, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Missouri, Columbia School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1975 N State St
Orem, UT 84057-2028
Phone (801) 714-5500
Hospital & facility affiliations
- Intermountain Health Utah Valley Hospital
- Intermountain Health Spanish Fork Hospital
- American Fork Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1847671205 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castleview Physician Practices LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Castleview Physician Practice LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Pine Top Medical P.C. | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1975 N State St
Orem, UT 84057
Phone (801) 714-5000
300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836
1034 N 500 W
Ste 101
Provo, UT 84604
Phone (801) 357-8310
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGCCDA
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.
-
- Social Worker
- Price, UT
- NPI 1033621362
-
- Neurology Physician
- Provo, UT
- NPI 1417241704
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Clinic/Center
- Price, UT
- NPI 1679956445
Hospital & facility affiliations 5
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": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1902893993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 N HOSPITAL DR",
"address_2": "STE 2",
"city": "PRICE",
"state": "UT",
"postal_code": "845014235",
"telephone_number": "435-613-1450",
"fax_number": "435-613-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 N 500 W STE 101",
"city": "PROVO",
"state": "UT",
"postal_code": "846043380",
"telephone_number": "801-357-8310"
}
],
"practiceLocations": [
{
"address_1": "284 N Hospital Dr",
"address_2": "Ste 2",
"address_purpose": "LOCATION",
"city": "Price",
"state": "UT",
"postal_code": "845014235",
"country_code": "US",
"telephone_number": "435-613-1450",
"fax_number": "435-613-1450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "DAVID",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "1847671205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.nichols@direct.imail.org",
"affiliation": "N",
"address_1": "1034 N 500 W Ste 101",
"city": "Provo",
"state": "UT",
"country_code": "US",
"postal_code": "846043380",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.