Individual provider Active NPI

Hanna Dorothee Hartman, MD

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1144751611
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12898462-1205 Issued in UT
Practice address
54 N 800 W
Salt Lake City, UT 84116-3326
Phone
(801) 408-8654
NPI assigned
Mar 25, 2017
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD193528 OR
Family Medicine Physician 207Q00000X 12898462-1205 UT Primary

Addresses

Primary practice location

54 N 800 W
Salt Lake City, UT 84116-3326

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1388 S Navajo St
Salt Lake City, UT 84104-3493
Phone (801) 955-2360

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC/ Office Ally

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
I20221114002316 UT Practitioner - Family Practice 9436421302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1365 W 1000
Salt Lake City, UT 84116-1654
Phone (801) 328-5750

1388 S Navajo St
Salt Lake City, UT 84104-3493
Phone (801) 955-2360

54 N 800
Salt Lake City, UT 84116-3326
Phone (801) 408-8654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12898462-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 2, 2025 Accepting new patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Apr 8, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 2, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Apr 8, 2023 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1078 S 300 E
Salt Lake City, UT 84111
Phone (801) 325-9538

54 N 8th W
Salt Lake City, UT 84116
Phone (801) 359-0901

1105 W 1000 N
Slc, UT 84116
Phone (801) 364-2434

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1144751611",
    "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": "54 N 800 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841163326",
            "telephone_number": "801-408-8654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1388 S Navajo St",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841043493",
            "country_code": "US",
            "telephone_number": "801-955-2360",
            "fax_number": "877-497-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "HANNA",
        "middle_name": "DOROTHEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD193528",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12898462-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "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.