Wendell A Gibby, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

178394-1204 Issued in UT

Practice address

3152 N University Ave
Suite 100
Provo, UT 84604-4729

Phone

(801) 229-2002

Fax

(801) 229-1003

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic RadiologyAlso: Interventional Pain Management

Education

University of Utah School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverwood Advanced Diagnostic ImagingGroup PAC ID 4385681899, 3 clinicians

Alpharad IncGroup PAC ID 1254367865, 3 clinicians

Riverside Medical Center LLCGroup PAC ID 7214161256, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4

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.

• Riverside Medical Center LLC

  • Multi-Specialty Clinic/Center
  • Provo, UT
  • NPI 1649567504
  Medicare reassignment Care Compare group NPD
• Riverwood Advanced Diagnostic Imaging

  • Specialist
  • Provo, UT
  • NPI 1194818278
  Medicare reassignment Care Compare group NPD
• Alpharad Inc

  • Radiologic Technologist
  • Provo, UT
  • NPI 1487836979
  Medicare reassignment Care Compare group
• Blue Rock Neurological LLC

  • Neurology Physician
  • Provo, UT
  • NPI 1730554734
  NPD (past) Authorized official
• Riverwoods Interventional Radiology Inc

  • Ambulatory Surgical Clinic/Center
  • Provo, UT
  • NPI 1477646479
  NPD (past) Authorized official
• Blue Rock Properties LLC

  • Radiologic Technologist
  • Salt Lake City, UT
  • NPI 1467606137
  NPD (past)
• Ihc Health Services Inc

  • Hospitalist Physician
  • Provo, UT
  • NPI 1134259294

  Diagnostic Radiology

  NPD (past)
• Riverwoods Urgent Care Center LC

  • Emergency Medicine Physician
  • Provo, UT
  • NPI 1801894035
  NPD (past)
• Utah Navajo Health System, Incorporated

  • Family Medicine Physician
  • Blanding, UT
  • NPI 1457489486
  NPD (past)
• Utah Navajo Health System, Incorporated

  • Land Ambulance
  • Montezuma Creek, UT
  • NPI 1598198434
  NPD (past)
• Utah Valley Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Provo, UT
  • NPI 1265483598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1992802235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N UNIVERSITY AVE",
            "address_2": "SUITE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044729",
            "telephone_number": "801-229-2002",
            "fax_number": "801-229-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 N UNIVERSITY AVE",
            "address_2": "SUITE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044729",
            "telephone_number": "801-229-2002",
            "fax_number": "801-229-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBY",
        "first_name": "WENDELL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "178394-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan W. Gibbons, LCSW
• Patsy Gibbs, MS, BCBA
• Amanda Gibby, SSW
• Conrad Curtis Gibby, M.D.
• Jacob Troy Gibby, MD
• Wendell Andrew Gibby, M.D.
• Clare Gibeault
• Jamee Ann Gibert, NP
• Grace Gibson
• Michael Frank Gibson, NP

• Diagnostic Radiology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Diagnostic Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.

Verify at the official NPI Registry.