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

John K Staheli, MD

Individual provider Internal Medicine Physician · NPI 1275591620

John K Staheli, MD is a Sleep Medicine in Provo, Utah. Graduated from University of Utah School of Medicine in 1994, 32 years ago. Practices with Revere Health PC, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
32
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 N 500 W Ste 212
Provo, UT 84604-3305
Phone: (801) 374-2362
Fax: (801) 429-8196
Show map & directions

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

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence 318981-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 3189811205 (UT)

Record details

NPI number1275591620
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

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

Medicare specialtySLEEP MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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