Active NPI
Megan C Phelps, MD
- Family Medicine Physician
- Hailey, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-17482
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14205133-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| University of Utah Community Physicians Group | Current | Accepting new patients | |
| University of Utah Community Physicians Group | Family Medicine | Current | Accepting new patients |
| Community Health Centers, Inc. | Family Medicine | Current | 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
- mphelps786214@direct.med.utah.edu
- mphelps1311423@ahs.direct-ci.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- West Valley City, UT
- NPI 1952505117
Family Medicine
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1467241554
-
- Federally Qualified Health Center (FQHC)
- Midvale, UT
- NPI 1073611364
Family Medicine
-
- Family Medicine Physician
- Park City, UT
- NPI 1053715763
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1124422126
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.