Individual provider Active NPI

David W. Ririe, M.D.

  • Hematology & Oncology Physician
  • Provo, UT
National Provider Identifier
1952307605
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
13143147-1205 Issued in UT
Practice address
1034 N 500 W
Provo, UT 84604-3380
Phone
(801) 357-7575
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 13143147-1205 UT Primary
Hematology & Oncology Physician 207RH0003X M-10690 ID

Addresses

Primary practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

500 S 11th Ave Ste 100
Pocatello, ID 83201-4877
Phone (208) 239-1470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 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
I20100416000289 ID Practitioner - Hematology/Oncology 9931160157 Reassigns benefits to 1 organization
I20230224000464 UT Practitioner - Hematology/OncologyPractitioner - Medical Oncology 9931160157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1000 N Main St
Richfield, UT 84701-2061
Phone (801) 357-4600

1034 N 500
Provo, UT 84604-3380
Phone (801) 357-8879

1100 S Medical Dr
Mount Pleasant, UT 84647-2222
Phone (435) 462-4169

126 White Sage Ave
Delta, UT 84624-8937
Phone (435) 864-5591

170 N 1100
American Fork, UT 84003-2096
Phone (801) 357-7414

454 E Medical Way
Heber City, UT 84032-1391
Phone (435) 654-2500

674 S Hwy 99
Fillmore, UT 84631-5013
Phone (435) 743-5591

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • Intermountain Health Sevier Valley Hospital Hospital, Richfield, UT, CCN 460026
  • Cassia Regional Hospital Hospital, Burley, ID, CCN 131326
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-10690IDMDHematology & Oncology Physician
13143147-1205UTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Health Services, LLC Current Accepting new patients
Pocatello Health Services, LLC CurrentSince Mar 1, 2010 Accepting new patients
Steele Memorial Medical Center CurrentSince Mar 17, 2012 Accepting new patients
Pocatello Health Services, LLC CurrentSince Mar 1, 2010 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Northeastern Utah Medical Group Family Medicine CurrentSince Jul 7, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Feb 26, 2023 Accepting new patients
Steele Memorial Medical Center CurrentSince Mar 17, 2012 Accepting new patients
Ihc Health Services, Inc. CurrentSince Feb 26, 2023 Accepting new patients
Pocatello Hospital LLC Internal Medicine Current Accepting new patients
Northeastern Utah Medical Group CurrentSince Jul 7, 2024 Accepting new patients
North Lincoln County Hospital District Family Medicine Past Accepting new patients

Locations

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

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

454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500

900 Round Valley Dr
Park City, UT 84060
Phone (435) 658-7000

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335

Organizations & group practices 12

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 8

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1952307605",
    "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": "1034 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043380",
            "telephone_number": "801-357-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S 11th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832014877",
            "country_code": "US",
            "telephone_number": "208-239-1470",
            "fax_number": "208-239-3754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIRIE",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "UT",
            "license": "13143147-1205",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ID",
            "license": "M-10690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.