Individual provider Active NPI

Joshua Romanek, PA-S

  • Physician Assistant
  • American Fork, UT
National Provider Identifier
1942058425
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14247331-1206 Issued in UT
Practice address
98 N 1100 E Ste 103
American Fork, UT 84003-2940
Phone
(801) 492-2330
NPI assigned
May 9, 2024
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14247331-1206 UT Primary

Addresses

Primary practice location

98 N 1100 E Ste 103
American Fork, UT 84003-2940

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1800 Novell Pl
Provo, UT 84606-6171
Phone (801) 375-5125

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106003284 UT Practitioner - Physician Assistant 1759871999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

98 N 1100
Suite 103
American Fork, UT 84003-2940
Phone (801) 492-2380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14247331-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Mar 2, 2026 Accepting new patients
Rocky Mountain University of Health Professions Foundation CurrentSince May 12, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 2, 2026 Accepting new patients
Tecs Utah PC CurrentSince Oct 1, 2025 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

350 E 300 N
American Fork, UT 84003
Phone (385) 350-8500

98 N 1100 E
Ste 103
American Fork, UT 84003
Phone (801) 492-2330

523 N Main St
Bountiful, UT 84010
Phone (801) 951-1600

775 N 200 E
Brigham City, UT 84302
Phone (435) 723-7777

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

1100 N 400 E
Nephi, UT 84648
Phone (435) 623-1721

1800 Novell Pl
Provo, UT 84606
Phone (801) 375-5125

163 E 1000 N
Richfield, UT 84701
Phone (435) 896-8211

2472 S 300 E
South Salt Lake, UT 84115
Phone (801) 273-6402

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1942058425",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 N 1100 E STE 103",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032940",
            "telephone_number": "801-492-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Novell Pl",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846066171",
            "country_code": "US",
            "telephone_number": "801-375-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANEK",
        "first_name": "JOSHUA",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14247331-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.