Direct MD Utah LLC
NPI 1124904057ActiveOrganization· General Practice· Midvale, UT
General Practice in Midvale, Utah, registered in NPPES in August 2025. The authorized official on file is Travis Winward, Manager.
Overview
| NPI | 1124904057 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2025 |
| Last updated in NPPES | Aug 14, 2025 |
| Certified by provider | Aug 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Midvale
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