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

Mohamed Dafalla

Individual provider Obesity Medicine (Preventive Medicine) Physician · NPI 1730507625

Mohamed Dafalla is an Endocrinology in American Fork, Utah. Qualified in 2011, 15 years ago. Practices with Revere Health PC, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2014
Specialties on file
3

Practice location Address checks out

1175 E 50 S Ste 241
American Fork, UT 84003-2849
Phone: (801) 429-8008
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 12371377-1205 (UT)
Obesity Medicine (Preventive Medicine) Physician Taxonomy 2083B0002X · Licence 12371377-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 12371377-1205 (UT)

Record details

NPI number1730507625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2014
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services