MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC
MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1720035520, based in Murray, UT. The organization lists 5 taxonomy classifications, with Diagnostic Radiology Physician recorded as primary.
Getting there
The practice address on file is 5334 S WOODROW ST STE 100, Murray, UT 84107. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1328836-0144 | UT | Diagnostic Radiology Physician primary |
| 1328836-0144 | UT | Neuroradiology Physician |
| 1328836-0144 | UT | Vascular Surgery Physician |
| 1328836-0144 | UT | Body Imaging Physician |
| 1328836-0144 | UT | Vascular & Interventional Radiology… |
This provider holds licence 1328836-0144 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5294639407
Enrolled in Medicare 20 times, across 20 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Utah | O20031120000357 | Part B Supplier - Clinic/group Practice |
| Colorado | O20170818002220 | Part B Supplier - Clinic/group Practice |
| Oregon | O20180315001526 | Part B Supplier - Clinic/group Practice |
| Texas | O20190606001153 | Part B Supplier - Clinic/group Practice |
| Washington | O20200309002021 | Part B Supplier - Clinic/group Practice |
| Illinois | O20200313001016 | Part B Supplier - Clinic/group Practice |
| Idaho | O20200319002100 | Part B Supplier - Clinic/group Practice |
| Pennsylvania | O20200407001912 | Part B Supplier - Clinic/group Practice |
| Louisiana | O20200409000663 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20200409002832 | Part B Supplier - Clinic/group Practice |
| South Carolina | O20200409003203 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20200423002329 | Part B Supplier - Clinic/group Practice |
| Kansas | O20200427000503 | Part B Supplier - Clinic/group Practice |
| Virginia | O20200504001154 | Part B Supplier - Clinic/group Practice |
| Hawaii | O20200508001695 | Part B Supplier - Clinic/group Practice |
| Arizona | O20200508001876 | Part B Supplier - Clinic/group Practice |
| Ohio | O20200508002418 | Part B Supplier - Clinic/group Practice |
| Georgia | O20200910002212 | Part B Supplier - Clinic/group Practice |
| Florida | O20200918001929 | Part B Supplier - Clinic/group Practice |
| Michigan | O20201201000959 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 20 separate enrolment records across 20 states (UT, CO, OR, TX, WA, IL, ID, PA, LA, NC, SC, WI, KS, VA, HI, AZ, OH, GA, FL, MI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 1328836-0144 | UT | primary |
| 2085N0700X | Neuroradiology Physician Neuroradiology | 1328836-0144 | UT | |
| 2086S0129X | Vascular Surgery Physician Vascular Surgery | 1328836-0144 | UT | |
| 2085B0100X | Body Imaging Physician Body Imaging | 1328836-0144 | UT | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | 1328836-0144 | UT |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1720035520 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 27, 2006 |
| Last updated | Apr 17, 2026 |
| Status | Active |
| Practice address |
5334 S WOODROW ST STE 100 Murray, UT 84107 (801) 713-0600 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 2 | 0 | 0 | 3 | 5 | 5 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 4 | 0 | 0 | 3 | 1 | 5 | 4 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.