Individual provider Active NPI

Megan C Phelps, MD

  • Family Medicine Physician
  • Hailey, ID
National Provider Identifier
1043956949
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-17482 Issued in ID
Practice address
1450 Aviation Dr Ste 100
Hailey, ID 83333-8785
Phone
(208) 788-3434
Fax
(208) 788-9238
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14205133-1205 UT
Family Medicine Physician 207Q00000X M-17482 ID Primary
Family Medicine Physician 207Q00000X MRM-2142 ID

Addresses

Primary practice location

1450 Aviation Dr Ste 100
Hailey, ID 83333-8785

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

220 W 7200 S Ste A
Midvale, UT 84047-1053
Phone (801) 566-5494

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mphelps786214@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
I20250603003994 UT Practitioner - Family Practice 2567841729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

220 W 7200
Suite a
Midvale, UT 84047-1043
Phone (801) 566-5494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14205133-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Family Medicine CurrentSince Mar 22, 2025 Accepting new patients
University of Utah Community Physicians Group CurrentSince Jun 15, 2025 Accepting new patients
University of Utah Community Physicians Group Family Medicine CurrentSince Jun 15, 2025 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Mar 22, 2025 Accepting new patients

Locations

980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

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

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405

Interoperability endpoints

  • Direct secure messaging: mphelps786214@direct.med.utah.edu
  • Direct secure messaging: mphelps1311423@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1043956949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "fax_number": "877-497-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 AVIATION DR STE 100",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338785",
            "telephone_number": "208-788-3434",
            "fax_number": "208-788-9238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W 7200 S Ste A",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840471053",
            "country_code": "US",
            "telephone_number": "801-566-5494",
            "fax_number": "877-497-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "MEGAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "14205133-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-17482",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-2142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mphelps786214@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hailey, ID

Sources for this page

Verify at the official NPI Registry.