Laura M. Mann, M.D.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

12220364-1205 Issued in UT

Practice address

30 N 1900 E RM 1A071
Salt Lake City, UT 84132-2140

Phone

(801) 581-2766

NPI assigned

Apr 1, 2014

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Laura Meadows Former name

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

Specialty

Diagnostic Radiology

Education

University of Kansas School of Med (KC/Wich/Sal), 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green River Radiology PCGroup PAC ID 5294123063, 23 clinicians

Tooele Valley Imaging LLCGroup PAC ID 2466624630, 24 clinicians

Utah Imaging Associates IncGroup PAC ID 1355394537, 45 clinicians

Cira Michigan PCGroup PAC ID 7113355264, 89 clinicians

Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians

Wasatch Imaging LLCGroup PAC ID 7012949522, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
• St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162
• St Mark's Hospital Hospital, Salt Lake City, UT, CCN 460047
• Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
• St Mary Medical Center Hospital, Galesburg, IL, CCN 140064

Merit-based Incentive Payment System (MIPS)

Final score

93.06 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.86

Merit-based Incentive Payment System (MIPS)

Final score

99.99 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Green River Radiology, P.C.

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Pleasant Grove, UT
  • NPI 1508533878
  Medicare reassignment Care Compare group NPD
• Tooele Valley Imaging, LLC

  dba First Choice Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tooele, UT
  • NPI 1699004499
  Medicare reassignment Care Compare group NPD
• Wasatch Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Sandy, UT
  • NPI 1679645139
  Medicare reassignment Care Compare group NPD
• Central Illinois Radiological Associates, LTD.

  dba Central Illinois Radiological Associates

  • Diagnostic Radiology Physician
  • Peoria, IL
  • NPI 1538192828

  UT

  Medicare reassignment Care Compare group NPD
• Cira Michigan PC

  • Diagnostic Radiology Physician
  • Escanaba, MI
  • NPI 1972141513

  UT

  Medicare reassignment Care Compare group NPD
• Utah Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Farmington, UT
  • NPI 1629076229
  Medicare reassignment Care Compare group
• Tanner Memorial Clinic

  • Internal Medicine Physician
  • Layton, UT
  • NPI 1447239355
  Medicare reassignment NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527

  UT

  Medicare reassignment NPD
• Stern, Drake, Isbell & Associates, PA

  dba SDI Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1215903398

  UT

  Medicare reassignment NPD
• Tanner Memorial Clinic

  dba Tanner Clinic

  • Primary Care Clinic/Center
  • Farmington, UT
  • NPI 1447845730
  NPD
• Tanner Memorial Clinic

  dba Tanner Clinic Layton South

  • Multi-Specialty Clinic/Center
  • Layton, UT
  • NPI 1538951165
  NPD
• Green River Medical Center Inc

  dba Two Rivers Community Health

  • Federally Qualified Health Center (FQHC)
  • Green River, UT
  • NPI 1942317722
  NPD (past)

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

• Northern Utah Healthcare Corporation

  dba St. Mark's Hospital

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1164469243
  Care Compare affiliation
• Osf Healthcare System

  dba OSF Little Company of Mary Medical Center

  • General Acute Care Hospital
  • Evergreen Park, IL
  • NPI 1215572045
  Care Compare affiliation
• St Joseph Medical Center

  dba OSF Saint Joseph Medical Center

  • General Acute Care Hospital
  • Bloomington, IL
  • NPI 1619916806
  Care Compare affiliation
• St Mary Medical Center

  dba OSF Saint Mary Medical Center

  • General Acute Care Hospital
  • Galesburg, IL
  • NPI 1164485363
  Care Compare affiliation

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1043638562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAKWOOD RD",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111853",
            "telephone_number": "309-740-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 1A071",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322140",
            "telephone_number": "801-581-2766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 NE Glen Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616372140",
            "country_code": "US",
            "telephone_number": "309-655-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave",
            "address_2": "BOX SURG",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-275-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "LAURA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036.167893",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "UT",
            "license": "12220364-1205",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.167893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MEADOWS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Betenson Mann, MOTR/L
• David Bradley Mann, RPH
• Howard Mann, MBBCH
• Jordan Alan Mann
• Kim Mann, LCSW
• Margaret Mann
• Nina Marie Mann, FNP
• Hayley Anastasia Manning
• Jaysa Manning
• Kami Manning, BSN, RN

• Neuroradiology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Neuroradiology Physician in Utah

• 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.

Verify at the official NPI Registry.