Individual provider Active NPI

James Joseph Chamberlain, MD

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1093805681
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
327185-1205 Issued in UT
Practice address
1160 E 3900 S
Suite 1200
Salt Lake City, UT 84124-1202
Phone
(801) 261-9651
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 327185-1205 UT Primary

Addresses

Primary practice location

1160 E 3900 S
Suite 1200
Salt Lake City, UT 84124-1202

Mailing address

1160 E 3900 S
Suite 1200
Salt Lake City, UT 84124-1202
Phone (801) 261-9651

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
I20050617000688 UT Practitioner - Internal Medicine 4981648144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Vanderbilt University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Physicians Care Centers PCGroup PAC ID 3971404963, 11 clinicians

Practice addresses (Care Compare)

1160 E 3900
Suite 1200
Salt Lake City, UT 84124-1251
Phone (801) 261-9651

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327185-1205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Physicians Care Centers PC Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
Utah Physicians Care Center Internal Medicine Current Accepting new patients

Locations

5630 S Waterbury Way
Ste B102
Salt Lake Cty, UT 84121
Phone (801) 261-9651

1160 E 3900 S
Ste 1200
Slc, UT 84124
Phone (801) 261-9651

Networks

  • UT PPO
  • UT PPO D-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15147/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.chamberlain.1@15147.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1093805681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "SUITE 1200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241202",
            "telephone_number": "801-261-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "SUITE 1200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241202",
            "telephone_number": "801-261-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "327185-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.