PETER V JR. SUNDWALL (M.D.) – Family Medicine Physician, NPI 1558470641

PETER V JR. SUNDWALL (M.D.) is a healthcare provider. based in Alpine, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 3393791205 (UT). The NPI Number for PETER V JR. SUNDWALL (M.D.) is 1558470641

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
PETER V JR. SUNDWALL (M.D.)
NPI
1558470641
Phone
(801) 763-9851
Address
155 W CANYON CREST RD
Enumeration Date
30 August 2006
Last Update Date
23 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8018993391
Graduation Year
1994 (32 years ago)
PAC ID
3678486008
Group Practice PAC ID
0244638104
Professional Enrollment ID
I20060117001068
Address ID
UT840038973HI10290BLVD501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,137 FAMILY PRACTICE in UT

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Provider Addresses for PETER V JR. SUNDWALL (M.D.)

  • 155, West Canyon Crest Road, Alpine, Utah County, Utah, 84004, United States

    SUITE 200

    ALPINE, UT 840041819

    Phone: (801) 763-9851

    Fax: (801) 763-9852

    Type: Mailing

  • 10290 N NORTH COUNTY BLVD

    SUITE 200

    HIGHLAND, UT 840031819

    Phone: (801) 899-3391

    Fax: (801) 685-3266

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Boston Scientific Corporation ($81).

Total Amount

$148

General + Research + Ownership

Payments

8

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

Latest reported date

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: 2006-01-17

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
I20060117001068IFamily 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84004)

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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: 0244638104View full group profile
NameSpecialtyState
Family PracticeID

Reviews

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Frequently asked questions

Is there an official ID for PETER V JR. SUNDWALL (M.D.) in U.S. healthcare records?
The official identifier for PETER V JR. SUNDWALL (M.D.) is NPI 1558470641.
Is PETER V JR. SUNDWALL (M.D.) still an active registrant?
PETER V JR. SUNDWALL (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to PETER V JR. SUNDWALL (M.D.)?
PETER V JR. SUNDWALL (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Utah is PETER V JR. SUNDWALL (M.D.) registered?
Use Alpine, Utah as the headline location for PETER V JR. SUNDWALL (M.D.) here.
Can I trust this NPI listing for PETER V JR. SUNDWALL (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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