Active NPI
Michelle Marie Matheu, M.D.
- Infectious Disease Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 10846054-1205
- Practice address
- 5063 S Cottonwood St Ste LL2
Murray, UT 84107-6766 - Phone
- (801) 507-7781
- NPI assigned
- Apr 18, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Infectious Disease Physician | 207RI0200X | 10846054-1205 | UT | Primary |
Addresses
Primary practice location
5063 S Cottonwood St Ste LL2
Murray, UT 84107-6766
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
370 E 9th Ave Ste 204
Salt Lake City, UT 84103-2842
Phone (801) 507-7781
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190716002712 | UT | Practitioner - Infectious Disease | 4284931171 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
3741 W 12600
Riverton, UT 84065-7215
3773 W 12600
Primary Childrens Op
Riverton, UT 84065-7215
Phone (801) 285-1285
454 E Medical Way
Heber City, UT 84032-1391
Phone (435) 654-2500
5121 S Cottonwood St
Murray, UT 84107-5701
5131 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-3888
5171 S Cottonwood St
Suite 350
Murray, UT 84107-5733
Phone (801) 507-9390
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
9660 S 1300
Sandy, UT 84094-3762
Hospital & facility affiliations
- Park City Hospital
- Intermountain Health Logan Regional Hospital
- Intermountain Medical Center
- Intermountain Health Riverton Hospital
- American Fork Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5063 S Cottonwood St
Ste LL2
Salt Lake City, UT 84107
Phone (801) 507-7781
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
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.
-
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1366567588
-
- Emergency Medicine Physician
- Riverton, UT
- NPI 1477683357
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
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": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1134563307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5063 S COTTONWOOD ST STE LL2",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076766",
"telephone_number": "801-507-7781"
}
],
"practiceLocations": [
{
"address_1": "370 E 9th Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841032842",
"country_code": "US",
"telephone_number": "801-507-7781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEU",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "UT",
"license": "10846054-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.