Individual provider Active NPI

Douglas P Marx, MD

  • Ophthalmology Physician
  • Salt Lake City, UT
National Provider Identifier
1013177682
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N9740 Issued in TX
Practice address
4400 S 700 E Ste 130
Salt Lake City, UT 84107-3396
Phone
(801) 264-4420
Fax
(801) 266-0604
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 10382570-1205 UT
Ophthalmology Physician 207W00000X N9740 TX Primary

Addresses

Primary practice location

4400 S 700 E Ste 130
Salt Lake City, UT 84107-3396

Mailing address

4400 S 700 E Ste 130
Salt Lake City, UT 84107-3396
Phone (801) 264-4420

Other practice location 1

451 Ridge Top Ln
North Salt Lake, UT 84054-2651
Phone (801) 927-7607

Other practice location 2

520 Medical Dr Ste 201
Bountiful, UT 84010-8930
Phone (801) 264-4420

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmarx257898@direct.med.utah.edu Direct University of Utah

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171024003321 UT Practitioner - Ophthalmology 1658426572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Oculoplastic Consultants PCGroup PAC ID 6103097134, 2 clinicians

Practice addresses (Care Compare)

4400 S 700
Suite 130
Salt Lake City, UT 84107-3396
Phone (801) 264-4420

Hospital & facility affiliations

  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Merit-based Incentive Payment System (MIPS)

Final score
94.39 of 100Reported as group
Quality
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9740TXMDOphthalmology Physician
10382570-1205UTMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince Sep 18, 2017 Accepting new patients
University of Utah Pediatric Services CurrentSince Sep 18, 2017 Accepting new patients
University of Utah Adult Services CurrentSince Sep 18, 2017 Accepting new patients
University of Utah Adult Services CurrentSince Sep 18, 2017 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

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

65 S Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 581-2352

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

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

Interoperability endpoints

  • Direct secure messaging: dmarx257898@direct.med.utah.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1013177682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S 700 E STE 130",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073396",
            "telephone_number": "801-264-4420",
            "fax_number": "801-266-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S 700 E STE 130",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073396",
            "telephone_number": "801-264-4420",
            "fax_number": "801-266-0604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Ridge Top Ln",
            "address_purpose": "LOCATION",
            "city": "North Salt Lake",
            "state": "UT",
            "postal_code": "840542651",
            "country_code": "US",
            "telephone_number": "801-927-7607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Medical Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840108930",
            "country_code": "US",
            "telephone_number": "801-264-4420",
            "fax_number": "801-264-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARX",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "UT",
            "license": "10382570-1205",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N9740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmarx257898@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 Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.