Active NPI
Don Dennis Williams, M.D.
- Diagnostic Radiology Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9349137-1205
- Practice address
- 1055 N 500 W Ste 112
Provo, UT 84604-3305 - Phone
- (801) 812-4624
- Fax
- (801) 812-4699
- NPI assigned
- Apr 15, 2010
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 9349137-1205 | UT | Primary |
Addresses
Primary practice location
1055 N 500 W Ste 112
Provo, UT 84604-3305
Mailing address
1055 N 500 W
Att: Credentialing
Provo, UT 84604
Phone (801) 354-8225
Other practice location 1
555 W State Road 164
Salem, UT 84653-5732
Phone (801) 812-4624
Other practice location 2
1175 E 50 S Ste 141
American Fork, UT 84003-2845
Phone (801) 812-4624
Other practice location 3
3000 N Triumph Blvd Ste 100
Lehi, UT 84043-4999
Phone (801) 812-4624
Other practice location 4
2825 E Mall Dr
St George, UT 84790-1954
Phone (801) 354-8225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1392 | Other | UT | UNIVERSITY OF UTAH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Central Utah Clinic, P.C. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2825 E Mall Dr
St George, UT 84790-1954
Phone (435) 673-6131
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9349137-1205 | UT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Diagnostic Radiology | Current | Accepting new patients |
| University of Utah Adult Services | Diagnostic Radiology | Current | Accepting new patients |
| Regional Health Services Inc | Family Medicine | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients |
Locations
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
201 State St
Erie, PA 16550
Phone (814) 877-2137
2 Hot Metal St
Ste 1
Pittsburgh, PA 15203
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
1175 E 50 S
Ste 141
American Fork, UT 84003
Phone (801) 492-5996
3000 N Triumph Blvd
Ste 100
Lehi, UT 84043
Phone (385) 345-3155
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Ste 112
Provo, UT 84604
Phone (801) 812-4624
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
555 W State Road 164
Salem, UT 84653
Phone (801) 465-4896
555 W State Road 164
Ste 112
Salem, UT 84653
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1490 E Foremaster Dr
Bldg C
St George, UT 84790
Phone (435) 674-5230
2825 E Mall Dr
St George, UT 84790
Phone (435) 673-6131
Interoperability endpoints
- donwilliams@cuccu.allscriptsdirect.net
Organizations & group practices 8
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.
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
dba Huntsman Cancer Hospital BMT
- Hematology (Internal Medicine) Physician
- Salt Lake City, UT
- NPI 1740684513
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
- Critical Access Hospital
- Nephi, UT
- NPI 1881658110
-
dba Nephi Medical Clinic
- Family Medicine Physician
- Nephi, UT
- NPI 1992724975
Hospital
-
dba Mountain View Hospital
- General Acute Care Hospital
- Payson, UT
- NPI 1487607669
-
dba Timpanogos Regional Hospital
- General Acute Care Hospital
- Orem, UT
- NPI 1497702195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1942526819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "ATT: CREDENTIALING",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-354-8225",
"fax_number": "801-418-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 500 W STE 112",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-812-4624",
"fax_number": "801-812-4699"
}
],
"practiceLocations": [
{
"address_1": "555 W State Road 164",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "UT",
"postal_code": "846535732",
"country_code": "US",
"telephone_number": "801-812-4624",
"fax_number": "801-812-4699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1175 E 50 S Ste 141",
"address_purpose": "LOCATION",
"city": "American Fork",
"state": "UT",
"postal_code": "840032845",
"country_code": "US",
"telephone_number": "801-812-4624",
"fax_number": "801-812-4699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 N Triumph Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Lehi",
"state": "UT",
"postal_code": "840434999",
"country_code": "US",
"telephone_number": "801-812-4624",
"fax_number": "801-812-4699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2825 E Mall Dr",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847901954",
"country_code": "US",
"telephone_number": "801-354-8225",
"fax_number": "801-418-0941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DON",
"middle_name": "DENNIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "9349137-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY OF UTAH",
"identifier": "1392",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medreview@reverehealth.com",
"affiliation": "Y",
"affiliationName": "Central Utah Clinic, P.C.",
"address_1": "1490 E Foremaster Dr Bldg C",
"city": "St George",
"state": "UT",
"country_code": "US",
"postal_code": "847904550",
"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 Mar 27, 2025; 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.