NPIMap

Individual provider Active NPI

Cheryl Lynn Green, M.D.

  • Diagnostic Radiology Physician
  • Murray, UT
National Provider Identifier
1063452225
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
331071-1205 Issued in UT
Practice address
5334 S Woodrow St Ste 100
Murray, UT 84107-5838
Phone
(801) 713-0600
Fax
(801) 713-0601
NPI assigned
Jun 7, 2006
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME133855 FL
Diagnostic Radiology Physician 2085R0202X 331071-1205 UT Primary
Diagnostic Radiology Physician 2085R0202X M-10273 ID
Diagnostic Radiology Physician 2085R0202X DR.0070410 CO

Addresses

Primary practice location

5334 S Woodrow St Ste 100
Murray, UT 84107-5838

Mailing address

5334 S Woodrow St Ste 100
Murray, UT 84107-5838
Phone (801) 713-0600

Other practice location 1

11700 W 2nd Pl Ste 100
Lakewood, CO 80228-1707
Phone (720) 321-8230

Other identifiers 3

IdentifierTypeStateIssuer
1063452225MedicaidUT
O1397OtherFLMEDICARE HF
022659500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060227000350 UT Practitioner - Diagnostic Radiology 8729094883 Reassigns benefits to 2 organizations
I20260525000012 CO Practitioner - Diagnostic Radiology 8729094883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Medical Physician Specialists PCGroup PAC ID 5294639407, 29 clinicians

Practice addresses (Care Compare)

1600 W Antelope Dr
Layton, UT 84041-1142
Phone (801) 262-8120

3460 S Pioneer Pkwy
Salt Lake City, UT 84120-2049
Phone (801) 262-8120

5323 S Woodrow St
Murray, UT 84107-5841
Phone (801) 713-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0070410COMDDiagnostic Radiology Physician
ME133855FLMDDiagnostic Radiology Physician
M-10273IDMDDiagnostic Radiology Physician
331071-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Jan 1, 2024 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Mountain Medical Physician Specialists PC Diagnostic Radiology CurrentSince May 1, 2006 Accepting new patients
MMPS Ogden Past Accepting new patients
Open MRI of Conway LLC Diagnostic Radiology PastSince Jan 1, 2020 Accepting new patients
Central Utah Radiology, PC Diagnostic Radiology Past Accepting new patients
University Radiology Associates Diagnostic Radiology Past Accepting new patients

Locations

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

5323 S Woodrow St
Salt Lake City, UT 84107
Phone (801) 261-8346

5334 S Woodrow St
#100
Salt Lake City, UT 84107
Phone (801) 284-1702

5444 S Green St
Salt Lake City, UT 84123
Phone (801) 262-2647

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

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1063452225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 S WOODROW ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075838",
            "telephone_number": "801-713-0600",
            "fax_number": "801-713-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 S WOODROW ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075838",
            "telephone_number": "801-713-0600",
            "fax_number": "801-713-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11700 W 2nd Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281707",
            "country_code": "US",
            "telephone_number": "720-321-8230",
            "fax_number": "720-321-8231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME133855",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "331071-1205",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-10273",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0070410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063452225",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "O1397",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022659500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.