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Deactivated NPI 1417995325 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas J Lichti , MD

Surgery • Heber City, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Lichti has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2006
NPI Deactivation Date April 02, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Lichti, MD was a registered Surgery practicing in Heber City, UT. Throughout an active medical career spanning 20 years, Dr. Lichti provided care at the practice location at 380 E 1500 S until profile deactivation on 2026-04-02.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital inpatient care per day, hospital discharge day management. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

380 E 1500 S
Suite 202

Heber City, UT 840323940

Telephone 4356572711
Fax 4356572716
Associated Practice Facility / Clinic
🏢 Wasatch Family Dentistry Facility NPI 1477649697

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Heber City, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Heber City, UT (278 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
159 91 $248.00 $76.57
99221 Initial hospital inpatient care per day, typically 30 minutes
47 47 $344.00 $107.32

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 1835651205

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
John Nebeker , PT

Physical Therapist

NPI 1043226905

Physical Therapist

Dr. Jeffrey Dorius , DDS

Dentist - General Practice

NPI 1184658809

Doctor of Dental Surgery

William Green , PT

Physical Therapist

NPI 1265448187

Physical Therapist

Michele Alegre , SLP-CCC

Speech-Language Pathologist

NPI 1306852264

SLPCCC

Dr. Jessica Cooke , DPT

Physical Therapist

NPI 1538576566

Doctor of Physical Therapy

NPI 1821415159

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 02, 2026

Record deactivated on April 02, 2026

NPI Profile Active September 16, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 16, 2013

Registered at 380 E 1500 S, SUITE 202, HEBER CITY, UT 840323940 (Tel: 4356572711)

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Updated Business Mailing Address September 16, 2013

Registered at 380 E 1500 S, SUITE 202, HEBER CITY, UT 840323940 (Tel: 4356572711)

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Provider Name / Credentials Updated September 16, 2013

Recorded as DOUGLAS LICHTI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2013

Surgery (License #1835651205 in UT)

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Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417995325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2006
Last Update: September 16, 2013
Deactivation Date: April 02, 2026

Mailing Address

380 E 1500 S, Suite 202

Heber City, UT 840323940

Phone: 4356572711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.