Direct MD Utah II LLC
NPI 1629939285ActiveOrganization· General Practice· Midvale, UT
General Practice in Midvale, Utah, registered in NPPES in November 2025. The authorized official on file is Travis Winward, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629939285 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2025 |
| Last updated in NPPES | Nov 21, 2025 |
| Certified by provider | Nov 21, 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
Other General Practice providers in Midvale
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