Individual provider Active NPI

Bethany R Powers, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Salt Lake City, UT
National Provider Identifier
1053774455
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
12882240-1205 Issued in UT
Practice address
6322 S 3000 E Ste 170
Salt Lake City, UT 84121-7290
Phone
(801) 513-3223
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 68626 WI
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 12882240-8905 UT
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 12882240-1205 UT Primary

Addresses

Primary practice location

6322 S 3000 E Ste 170
Salt Lake City, UT 84121-7290

Mailing address

6322 S 3000 E Ste 170
Salt Lake City, UT 84121-7290
Phone (801) 513-3223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bpowers749803@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WI, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221219001311 UT Practitioner - Otolaryngology 3173815073 Reassigns benefits to 3 organizations
I20240201003361 WI Practitioner - Otolaryngology 3173815073 Reassigns benefits to 1 organization
I20241104000874 HI Practitioner - Otolaryngology 3173815073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Wisconsin, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-6387

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Holy Cross Hospital - Salt Lake Hospital, Salt Lake City, UT, CCN 460003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12882240-8905UTMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince Apr 1, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2025 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
Ward MD LLC CurrentSince Oct 1, 2022 Accepting new patients
Dean Health Systems, Inc. CurrentSince Jan 19, 2024 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Oct 7, 2024 Accepting new patients
Dean Health Systems, Inc CurrentSince Jan 19, 2024 Accepting new patients
University of Utah Pediatric Services CurrentSince Apr 1, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2025 Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients
University of Utah Pediatric Services Past Accepting new patients

Locations

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

6322 S 3000 E
Ste 170
Salt Lake Cty, UT 84121
Phone (801) 513-3223

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

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

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

1211 Fish Hatchery Rd
Madison, WI 53715
Phone (608) 252-8000

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: bpowers749803@direct.med.utah.edu

Organizations & group practices 12

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 4

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1053774455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 S 3000 E STE 170",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841217290",
            "telephone_number": "801-513-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 S 3000 E STE 170",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841217290",
            "telephone_number": "801-513-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "BETHANY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "68626",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "UT",
            "license": "12882240-8905",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "UT",
            "license": "12882240-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpowers749803@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 Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.