Individual provider Active NPI

Joel Anthony Manzi

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1154909166
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13886768-1204 Issued in UT
Practice address
1365 W 1000 N
Salt Lake City, UT 84116-1654
Phone
(801) 328-5750
Fax
(877) 497-4661
NPI assigned
Mar 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13886768-1204 UT Primary

Addresses

Primary practice location

1365 W 1000 N
Salt Lake City, UT 84116-1654

Mailing address

1455 W 2200 S Ste 300
West Valley City, UT 84119-7219
Phone (801) 412-6920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmanzi704794@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240711002800 UT Practitioner - Family Practice 1052714086 Reassigns benefits to 2 organizations
I20251028001796 IA Practitioner - Family Practice 1052714086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

405 S Clark St
Suite 100
Carroll, IA 51401-3047
Phone (712) 792-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13886768-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthony Regional Hospital and Nursing Home CurrentSince Oct 1, 2025 Accepting new patients
University of Utah Community Physicians Group CurrentSince Jul 15, 2024 Accepting new patients
University of Utah Community Physicians Group Family Medicine CurrentSince Jul 15, 2024 Accepting new patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients
St Anthony Regional Hospital and Nursing Home Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
University of Utah Community Physicians Group Family Medicine Current Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

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

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

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

Interoperability endpoints

  • Direct secure messaging: jmanzi704794@direct.med.utah.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

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 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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1154909166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W 2200 S STE 300",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841197219",
            "telephone_number": "801-412-6920",
            "fax_number": "877-497-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 W 1000 N",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841161654",
            "telephone_number": "801-328-5750",
            "fax_number": "877-497-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZI",
        "first_name": "JOEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "13886768-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmanzi704794@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.