Active NPI
Matthew S Adams, CRNA
- Certified Registered Nurse Anesthetist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 277906-4406
- Practice address
- 1954 Fort Union Blvd Ste 114
Salt Lake City, UT 84121-6899 - Phone
- (800) 594-5736
- NPI assigned
- Sep 16, 2006
- Last updated
- Sep 24, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 277906-4406 | UT | Primary |
Addresses
Primary practice location
1954 Fort Union Blvd Ste 114
Salt Lake City, UT 84121-6899
Mailing address
1954 Fort Union Blvd Ste 114
Salt Lake City, UT 84121-6899
Phone (800) 594-5736
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190683600 | Other | UT | US DEPT OF LABOR |
| TPRA06823 | Other | UT | MOLINA |
| 70918 | Other | UT | PEHP |
| 774664 | Other | UT | DESERET MUTUAL |
| 27760944000001 | Other | UT | BCBS |
| 870666269MAT | Other | UT | EDUCATORS MUTUAL |
| QM0000054865 | Other | UT | ALTIUS |
| 107013910101 | Other | UT | IHC |
| 79200 | Other | UT | HEALTHY U |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
905 N 1000
Tremonton, UT 84337-9356
Phone (435) 207-4500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 89.3
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277906-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Mountain West Anesthesia LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000
3340 N Center St
Ste 800
Lehi, UT 84043
Phone (800) 501-4788
331 N 400 W
Orem, UT 84057
Phone (801) 224-4080
1067 N 500 W
Provo, UT 84604
Phone (801) 356-6002
10150 S Centennial Pkwy
Ste 230
Sandy, UT 84070
Phone (425) 284-1545
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Anesthesiology Physician
- Lehi, UT
- NPI 1558391763
-
dba Radiation Oncology Group
- Radiation Oncology Physician
- Salt Lake City, UT
- NPI 1972631042
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Bear River Valley Hospital
- General Acute Care Hospital
- Tremonton, UT
- NPI 1679582944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1013013838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 FORT UNION BLVD STE 114",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216899",
"telephone_number": "800-594-5736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1954 FORT UNION BLVD STE 114",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216899",
"telephone_number": "800-594-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "MATTHEW",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "277906-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "190683600",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "TPRA06823",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "70918",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "774664",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27760944000001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870666269MAT",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000054865",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107013910101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "79200",
"state": "UT"
}
],
"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 Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.