Active NPI
Andrew Gubler
- Family Medicine Physician
- Bountiful, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13212001-1205
- Practice address
- 557 W 2600 S
Bountiful, UT 84010-7717 - Phone
- (801) 298-9155
- Fax
- (801) 298-9156
- NPI assigned
- Apr 22, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13212001-1205 | UT | Primary |
Addresses
Primary practice location
557 W 2600 S
Bountiful, UT 84010-7717
Mailing address
233 N Houston Rd Ste 140E
Warner Robins, GA 31093-3023
Other practice location 1
763 N Redwood Rd
North Salt Lake, UT 84054-2835
Phone (801) 292-1422
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 Medical Dr
Suite 300
Bountiful, UT 84010-8925
Phone (801) 292-1422
Hospital & facility affiliations
- Symbii Davis Home Health
- Lakeview Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua Oaks MD PLLC | Family Medicine | Current | Accepting new patients |
Locations
520 Medical Dr
Ste 300
Bountiful, UT 84010
Phone (801) 292-1422
557 W 2600 S
Bountiful, UT 84010
Phone (801) 296-5805
763 N Redwood Rd
Ste 110
North Salt Lake, UT 84054
Phone (801) 292-1423
Interoperability endpoints
- andrew.gubler.1@16218.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Bountiful, UT
- NPI 1205221405
-
- Internal Medicine Physician
- Logan, UT
- NPI 1235191495
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bountiful, UT
- NPI 1104686427
-
- General Acute Care Hospital
- Bountiful, UT
- NPI 1528010451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1962022780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 N HOUSTON RD STE 140E",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 W 2600 S",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107717",
"telephone_number": "801-298-9155",
"fax_number": "801-298-9156"
}
],
"practiceLocations": [
{
"address_1": "763 N Redwood Rd",
"address_purpose": "LOCATION",
"city": "North Salt Lake",
"state": "UT",
"postal_code": "840542835",
"country_code": "US",
"telephone_number": "801-292-1422",
"fax_number": "801-296-0436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUBLER",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-22",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "13212001-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.