Active NPI
McKie Alan Delahunty, PA-C
- Physician Assistant
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10119894-1206
- Practice address
- 4000 S 700 E Ste 10
Salt Lake City, UT 84107-2580 - Phone
- (801) 268-4141
- NPI assigned
- Nov 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10119894-1206 | UT | Primary |
Addresses
Primary practice location
4000 S 700 E Ste 10
Salt Lake City, UT 84107-2580
Mailing address
4000 S 700 E Ste 10
Salt Lake City, UT 84107-2580
Phone (801) 268-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 S 700
Suite 10
Salt Lake City, UT 84107-2580
Phone (801) 268-4141
491 N Main St
Tooele, UT 84074-1654
Phone (435) 882-6448
Hospital & facility affiliations
- St Mark'S Hospital
- Intermountain Medical Center
- LDS Hospital
- Intermountain Health Riverton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10119894-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| After Hours Medical LLC, Dba Medallus Medical | Current | Accepting new patients | |
| After Hours Medical LLC, Dba Medallus Medical | Current | Accepting new patients |
Locations
1126 E Draper Pkwy
Draper, UT 84020
Phone (801) 545-0600
10433 S Redwood Rd
South Jordan, UT 84095
Phone (801) 260-1919
Interoperability endpoints
- mdelahunty@entslc.emadirect.md
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- SLC, UT
- NPI 1801857271
-
- Urgent Care Clinic/Center
- Draper, UT
- NPI 1437251279
-
- Urgent Care Clinic/Center
- South Jordan, UT
- NPI 1780786525
-
- Urgent Care Clinic/Center
- Draper, UT
- NPI 1992078349
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1003368283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 S 700 E STE 10",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072580",
"telephone_number": "801-268-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 S 700 E STE 10",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072580",
"telephone_number": "801-268-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAHUNTY",
"first_name": "MCKIE",
"middle_name": "ALAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-03",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "10119894-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.