NPIMap

Individual provider Active NPI

William E Barager Jr., DO

  • Nephrology Physician
  • Provo, UT
National Provider Identifier
1962444638
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
8397795-1204 Issued in UT
Practice address
1055 N 500 W
Ste 222
Provo, UT 84604-3305
Phone
(801) 377-4623
Fax
(801) 377-6832
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 11089 MT
Nephrology Physician 207RN0300X 8397795-1204 UT Primary

Addresses

Primary practice location

1055 N 500 W
Ste 222
Provo, UT 84604-3305

Mailing address

1055 N 500 W
Credentialing Department
Provo, UT 84604-3305
Phone (801) 354-8225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Revere Health PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130128000200 UT Practitioner - NephrologyPractitioner - Internal Medicine 0042116568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

250 W 300
FL 2
Roosevelt, UT 84066-2336
Phone (801) 377-4623

Hospital & facility affiliations

  • DaVita Utah Valley Dialysis Center Dialysis facility, Provo, UT, CCN 462525
  • 463505 Uintah Basin Med Ctr Dialysis - Roosevelt Dialysis facility, Roosevelt, UT, CCN 463505
  • 463506 Uintah Basin Med Ctr Dialysis- Vernal Dialysis facility, Vernal, UT, CCN 463506
  • DaVita Orem Dialysis Dialysis facility, Orem, UT, CCN 462555
  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019
  • Intermountain Health Sanpete Valley Hospital Hospital, Mount Pleasant, UT, CCN 461303
  • Castleview Hospital Hospital, Price, UT, CCN 460011
  • Intermountain Health Delta Community Hospital Hospital, Delta, UT, CCN 461300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Dec 31, 2012 Accepting new patients
Revere Health PC CurrentSince Dec 31, 2012 Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Locations

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

1055 N 500 W
Ste 222
Provo, UT 84604
Phone (801) 356-8907

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

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

250 W 300 N
Fl 2
Roosevelt, UT 84066
Phone (801) 377-4623

379 N 500 W
Ste 1B
Vernal, UT 84078
Phone (801) 377-4623

Interoperability endpoints

  • Direct secure messaging: williambarager@cuccu.allscriptsdirect.net

Organizations & group practices 5

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 12

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1962444638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "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",
            "address_2": "STE 222",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-377-4623",
            "fax_number": "801-377-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAGER",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MT",
            "license": "11089",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "8397795-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Revere Health PC",
            "address_1": "1055 N 500 W",
            "address_2": "Ste 222",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846043305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.