Individual provider Active NPI

Aaron Michael Secrest, MD, PHD

  • Dermatology Physician
  • Farmington, UT
National Provider Identifier
1003176934
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
8790910-1205 Issued in UT
Practice address
165 N University Ave
Farmington, UT 84025-2990
Phone
(801) 581-6465
NPI assigned
May 25, 2012
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 8790910-1205 UT Primary

Addresses

Primary practice location

165 N University Ave
Farmington, UT 84025-2990

Mailing address

30 North 1900 East, 4A330
Salt Lake City, UT 84132
Phone (801) 581-6465

Other practice location 1

30 North 1900 East, 4A330
Salt Lake City, UT 84132
Phone (801) 581-6465

Other practice location 2

300 E 56th St Apt 3C
New York, NY 10022
Phone (516) 210-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asecrest66764@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV, WY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160401000897 UT Practitioner - Dermatology 9032341151 Reassigns benefits to 3 organizations
I20211011002338 NV Practitioner - Dermatology 9032341151 Reassigns benefits to 1 organization
I20220921001431 WY Practitioner - Dermatology 9032341151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Pittsburgh School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Division University of Utah Medical CenterGroup PAC ID 9638073497, 73 clinicians

Practice addresses (Care Compare)

247 Bluffs Ave
Suite 102
Elko, NV 89801-2488
Phone (801) 581-2955

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 587-6340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as group
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
52.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions20
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
U-U Pediatric Dermatology CurrentSince Jun 1, 2016 Accepting new patients
University of Utah Adult Services CurrentSince Sep 26, 2016 Accepting new patients
University of Utah Adult Services CurrentSince Sep 26, 2016 Accepting new patients
Dermatology Division University of Utah Medical Center Dermatology CurrentSince Apr 1, 2016 Accepting new patients

Locations

247 Bluffs Ave
Ste 102
Elko, NV 89801
Phone (775) 369-2799

165 N University Ave
Farmington, UT 84025
Phone (801) 213-3200

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1577 Dewar Dr
Ste 109
Rock Springs, WY 82901
Phone (801) 581-3495

1577 Dewar Dr
Ste 9
Rock Springs, WY 82901

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1003176934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NORTH 1900 EAST, 4A330",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84132",
            "telephone_number": "801-581-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252990",
            "telephone_number": "801-581-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 North 1900 East, 4A330",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84132",
            "country_code": "US",
            "telephone_number": "801-581-6465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E 56th St Apt 3C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10022",
            "country_code": "US",
            "telephone_number": "516-210-5600",
            "fax_number": "917-254-4419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECREST",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "8790910-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asecrest66764@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

Verify at the official NPI Registry.