Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Imad Jaafar, MD

Individual provider Gastroenterology Physician · NPI 1821418120

Dr. Imad Jaafar, MD is a Gastroenterology in Provo, Utah. Graduated from University of Louisville School of Medicine in 2014, 12 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Ohio and Utah.

Years since qualifying
12
Trained at
University of Louisville School of Medicine
Licensed in
ID, OH, UT
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1055 N 500 W Ste 100
Provo, UT 84604-3305
Phone: (801) 354-8225
Fax: (801) 418-0941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 775 Pole Line Rd W Ste 203, Twin Falls, ID 83301-5820 — (208) 814-8300

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 14260238-1205 (UT)
Gastroenterology Physician Taxonomy 207RG0100X · Licence M-15969 (ID)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 35.138552 (OH)

Record details

NPI number1821418120
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2014
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address1055 N 500 W, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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