Active NPI
Douglas P Marx, MD
- Ophthalmology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- N9740
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.39 of 100
- Quality
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N9740 | TX | MD | Ophthalmology Physician |
| 10382570-1205 | UT | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Pediatric Services | Current | Accepting new patients | |
| University of Utah Pediatric Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | 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
- 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.
-
- Ophthalmology Physician
- Salt Lake City, UT
- NPI 1669755286
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1487018974
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1487000287
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Pediatric Infectious Diseases Physician
- Salt Lake City, UT
- NPI 1285098855
-
- Neurology Physician
- Houston, TX
- NPI 1881624666
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.