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

Samuel Lynn Southam, MD

Individual provider Diagnostic Radiology Physician · NPI 1104868850

Samuel Lynn Southam, MD practises Diagnostic Radiology in Provo, Utah. Graduated from University of Colorado School of Medicine, Denver in 2003, 23 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in New Mexico and Utah.

Years since qualifying
23
Trained at
University of Colorado School of Medicine, Denver
Licensed in
NM, 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

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7850
Fax: (801) 357-7626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2005-0536 (NM)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 12285899-1205 (UT)

Record details

NPI number1104868850
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2003 (23 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,915
Services billed 2,554 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • American Fork Hospital Hospital · American Fork, UT
  • San Juan Hospital Hospital · Monticello, UT · listed as San Juan County Hospital
  • Intermountain Health Spanish Fork Hospital Hospital · Spanish Fork, UT
  • Intermountain Health Utah Valley Hospital Hospital · Provo, UT
  • Park City Hospital Hospital · Park City, UT

Colleagues at Ihc Health Services Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3947 clinicians in the practice; 12 are shown here.

Other providers in Provo