Individual provider Active NPI

Don Dennis Williams, M.D.

  • Diagnostic Radiology Physician
  • Provo, UT
National Provider Identifier
1942526819
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9349137-1205 Issued in UT
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

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1392OtherUTUNIVERSITY OF UTAH

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 UT, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150910000364 UT Practitioner - Diagnostic Radiology 5799901617 Reassigns benefits to 2 organizations
I20161115000187 PA Practitioner - Diagnostic Radiology 5799901617 Reassigns benefits to 2 organizations

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
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

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

LicenseStateTypeSpecialty
9349137-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Jul 19, 2015 Accepting new patients
Revere Health PC CurrentSince Oct 15, 2020 Accepting new patients
Revere Health PC CurrentSince Oct 15, 2020 Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Sep 21, 2016 Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Jul 19, 2015 Accepting new patients
Regional Health Services Inc Family Medicine CurrentSince Dec 19, 2016 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.