Individual provider Active NPI

Robert B Topham, MD

  • Dermatology Physician
  • Holladay, UT
National Provider Identifier
1144290479
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2770041205 Issued in UT
Practice address
1775 E 4500 S
Holladay, UT 84117-4203
Phone
(801) 272-4408
Fax
(801) 272-4441
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2770041205 UT Primary

Addresses

Primary practice location

1775 E 4500 S
Holladay, UT 84117-4203

Mailing address

1775 E 4500 S
Holladay, UT 84117-4203
Phone (801) 272-4408

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
I20111228000779 UT Practitioner - Dermatology 0941476766 Receives reassigned benefits from 1 practitioner
Practice locations: Holladay, UT

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Utah School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1775 E 4500
Holladay, UT 84117-4257
Phone (801) 272-4408

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions277
Removal or shaving of skin growth1-10
Skin biopsy49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2770041205UTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B Topham Dermatology CurrentSince Sep 29, 2019 Accepting new patients

Locations

1775 E 4500 S
Millcreek, UT 84117
Phone (801) 272-4408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1144290479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E 4500 S",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174203",
            "telephone_number": "801-272-4408",
            "fax_number": "801-272-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E 4500 S",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174203",
            "telephone_number": "801-272-4408",
            "fax_number": "801-272-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPHAM",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "2770041205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.