DR. TAUAINA JAMES NGATUVAI (M.D.) – Family Medicine Physician, NPI 1003992470

DR. TAUAINA JAMES NGATUVAI (M.D.) is a healthcare provider. based in American fork, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 6263334-1205 (UT). The NPI Number for DR. TAUAINA JAMES NGATUVAI (M.D.) is 1003992470

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAUAINA JAMES NGATUVAI (M.D.)
NPI
1003992470
Phone
(801) 855-3844
Address
226 N. 1100 E.
Enumeration Date
28 October 2006
Last Update Date
15 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
9436151271
Group Practice PAC ID
7416197785
Professional Enrollment ID
I20070208000085
Address ID
UT840425009Li275XX200X300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

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Provider Addresses for DR. TAUAINA JAMES NGATUVAI (M.D.)

  • 226, North County Boulevard, American Fork, Utah County, Utah, 84003, United States

    STE. A

    AMERICAN FORK, UT 840032054

    Phone: (801) 855-3844

    Fax: (801) 855-3854

    Type: Mailing

  • Main Street, Lehi, Utah County, Utah, 84043, United States

    LEHI, UT 840432241

    Phone: (801) 768-1699

    Fax: (801) 768-4526

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 155 Open Payments records for all available years, with a total value of $2,755.

Total Amount is formed as General ($2,755) + Research ($0) + Ownership ($0) = $2,755.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($575).

Total Amount

$2,755

General + Research + Ownership

Payments

155

Total payment records

General Amount

$2,755

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070208000085IFamily PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes160100$0
99213Established patient office or other outpatient visit, 20-29 minutes9568$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8686$0
G0444Annual depression screening, 5 to 15 minutes7272$0
83036Hemoglobin a1c level2522$0
View full utilization report →

Insurance plans in this area (ZIP 84003)

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Provider's Procedures

DR. TAUAINA JAMES NGATUVAI (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEUT83036Hemoglobin A1C level3826
FAMILY MEDICINEUT85610Blood test, clotting time5222

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416197785View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TAUAINA JAMES NGATUVAI (M.D.)?
NPI 1003992470 is assigned to DR. TAUAINA JAMES NGATUVAI (M.D.) under the national enumeration system.
Does this profile mean DR. TAUAINA JAMES NGATUVAI (M.D.) is currently active?
Yes — DR. TAUAINA JAMES NGATUVAI (M.D.) appears active in the national provider directory.
Does DR. TAUAINA JAMES NGATUVAI (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. TAUAINA JAMES NGATUVAI (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TAUAINA JAMES NGATUVAI (M.D.)?
The page summarizes American Fork, Utah for DR. TAUAINA JAMES NGATUVAI (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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