DR. JAMES R REVENAUGH M.D.
NPI 1316915952
Internal Medicine - Cardiovascular Disease in Murray, UT

Q: What is James Revenaugh's NPI number?

The NPI number for James Revenaugh is 1316915952. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is James Revenaugh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for James Revenaugh was last updated on April 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 09, 2006PECOS Enrolled

5169 COTTONWOOD ST, BLDG. B, SUITE 520, MURRAY, UT 84107(801) 507-3500(801) 507-3550 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. James R Revenaugh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES R REVENAUGH M.D. (NPI 1316915952) is an individual cardiovascular disease provider in Murray, Utah, licensed in Utah (333439) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316915952

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. JAMES R REVENAUGHCredential: M.D.

Location Address5169 COTTONWOOD ST, BLDG. B, SUITE 520Murray, UT 84107-6767

Mailing Address5169 Cottonwood St, Bldg. B, Suite 520Murray, UT 84107-6767 · (801) 507-3500 · Fax (801) 507-3550

Phone(801) 507-3500

Fax(801) 507-3550

Sole ProprietorNo

Enumeration DateMarch 9, 2006

Last NPPES UpdateApril 14, 2010

✔ NPI 1316915952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in UT · 333439

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5169 COTTONWOOD ST, Murray, UT 84107

Open in Google Maps ↗

Other Identifiers 8

Medicaid002084158NV

Medicare UPINF82980UT

MedicaidD1851UT

Medicare PINV100428NV

Other060052374Rr Medicare

Medicaid805051500ID

Medicaid113027700WY

Medicare PIN005517101UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James R Revenaugh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty