NPIMap

Individual provider Active NPI

Susan E. Dalton, M.D.

  • Maternal & Fetal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1134576937
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
11705712-1205 Issued in UT
Practice address
30 N 1900 E RM 2B200
Salt Lake City, UT 84132-2209
Phone
(801) 581-7647
NPI assigned
May 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 217788 NC
Maternal & Fetal Medicine Physician 207VM0101X 11705712-1205 UT Primary

Addresses

Primary practice location

30 N 1900 E RM 2B200
Salt Lake City, UT 84132-2209

Mailing address

30 N 1900 E RM 2B200
Salt Lake City, UT 84132-2209
Phone (801) 581-7647

Other practice location 1

3580 W 9000 S Ste 100
West Jordan, UT 84088-8812
Phone (801) 903-5620 ext. 18888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdalton439911@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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422000267 UT Practitioner - Obstetrics/Gynecology 0345533550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 N Medical Dr
U of U Department of OB/GYN Gynecol
Salt Lake City, UT 84132-0100
Phone (801) 587-6336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
93.24
Promoting interoperability
100
Improvement activities
40
Cost
45.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217788NCMDObstetrics & Gynecology Physician
11705712-1205UTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Specialty Services Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 14, 2020 Accepting new patients
University of Utah Specialty Services CurrentSince Apr 14, 2020 Accepting new patients
University of Utah Specialty Services Maternal & Fetal Medicine CurrentSince Apr 14, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Apr 14, 2020 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Specialty Services Maternal & Fetal Medicine Past Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients

Locations

127 S 500 E
Ste 200
Salt Lake City, UT 84102

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003

50 N Medical Dr
#U
Salt Lake Cty, UT 84132
Phone (801) 581-4314

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

5126 W Daybreak Pkwy
South Jordan, UT 84009
Phone (801) 213-4320

Interoperability endpoints

  • Direct secure messaging: sdalton439911@direct.med.utah.edu

Organizations & group practices 8

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 3

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": "1463788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1134576937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 2B200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322209",
            "telephone_number": "801-581-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 2B200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322209",
            "telephone_number": "801-581-7647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3580 W 9000 S Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840888812",
            "country_code": "US",
            "telephone_number": "801-903-5620 x18888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALTON",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-21",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "217788",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "UT",
            "license": "11705712-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdalton439911@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "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.