Individual provider Active NPI

Derek William Grady, M.D.

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
National Provider Identifier
1174940027
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14212374-1205 Issued in UT
Practice address
30 N Mario Capecchi RM 2S100
Salt Lake City, UT 84112
Phone
(801) 581-2121
NPI assigned
Mar 27, 2014
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14212374-1205 UT Primary
General Practice Physician 208D00000X 0116027479 VA
Diagnostic Radiology Physician 2085R0202X 0101258688 VA
Neuroradiology Physician 2085N0700X 14212374-1205 UT

Addresses

Primary practice location

30 N Mario Capecchi RM 2S100
Salt Lake City, UT 84112

Mailing address

30 N Mario Capecchi RM 2S100
Salt Lake City, UT 84112
Phone (801) 581-2121

Other practice location 1

USNH Guam
Bldg #50 Farenholt Ave
Agana Heights, GU 96910
Phone (671) 344-9340

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgrady755007@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU, UT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221122001634 CA Practitioner - Diagnostic Radiology 0941689103 Reassigns benefits to 12 organizations
I20230613000070 GU Practitioner - Diagnostic Radiology 0941689103 Reassigns benefits to 6 organizations
I20260518002828 UT Practitioner - Diagnostic Radiology 0941689103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologica IncGroup PAC ID 8820337769, 46 clinicians
Takecare Insurance Company IncGroup PAC ID 8325951239, 28 clinicians

Practice addresses (Care Compare)

199 E Webster St
Colusa, CA 95932-0019
Phone (530) 458-1808

548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 646-5825

Merit-based Incentive Payment System (MIPS)

Final score
91.96 of 100Reported as group
Quality
93.25
Improvement activities
40
Cost
79.74

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
86.89

Merit-based Incentive Payment System (MIPS)

Final score
98.77 of 100Reported as group
Quality
80.67
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.35 of 100Reported as group
Quality
53.28
Promoting interoperability
98
Improvement activities
40
Cost
63.18

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.56
Promoting interoperability
93
Improvement activities
40
Cost
69.49

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
76.35

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14212374-1205UTMDDiagnostic Radiology Physician
0116027479VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Dec 1, 2022 Accepting new patients
Seven Star Hospital Associates Inc. Diagnostic Radiology CurrentSince Feb 18, 2024 Accepting new patients
Southern Inyo Healthcare District CurrentSince Oct 10, 2023 Accepting new patients
Radiologica Inc. Diagnostic Radiology CurrentSince Mar 17, 2024 Accepting new patients
Adventist Health Mendocino Coast CurrentSince Jan 1, 2023 Accepting new patients
KC Tan, M.D. Medical Corporation Neuroradiology CurrentSince Jan 5, 2023 Accepting new patients
Ukiah Adventist Hospital Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Adventist Health Medical Center Tehachapi General Practice CurrentSince Dec 1, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Dec 1, 2022 Accepting new patients
Los Alamitos Radiology Group Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jan 20, 2025 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Jan 4, 2025 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Dec 1, 2022 Accepting new patients
Adventist Health Mendocino Coast CurrentSince Jan 1, 2023 Accepting new patients
Hanford Community Hospital CurrentSince Dec 1, 2022 Accepting new patients
San Joaquin Community Hospital CurrentSince Feb 1, 2023 Accepting new patients
Adventist Health Delano Current Accepting new patients
Ukiah Adventist Hospital CurrentSince Nov 1, 2022 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Feb 6, 2024 Accepting new patients
Rideout Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
San Joaquin Community Hospital CurrentSince Feb 1, 2023 Accepting new patients
Adventist Health Tulare CurrentSince Dec 1, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Dec 1, 2022 Accepting new patients
Southern Inyo Healthcare District Current Accepting new patients
Arcadia Radiology Medical Group a Professional Corporation Diagnostic Radiology CurrentSince Jan 25, 2024 Accepting new patients
Adventist Health Delano CurrentSince Dec 1, 2022 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jan 20, 2025 Accepting new patients
Takecare Insurance Company Inc. CurrentSince Jan 17, 2025 Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Advanced Medical Imaging Inc Past Accepting new patients
Adventist Health Physicians Network General Practice Past Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology Past Accepting new patients
Washington Radiologists Medical Group, Inc. Past Accepting new patients

Locations (25 of 50)

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

1849 Iron Point Rd
Ste 160
Folsom, CA 95630
Phone (916) 984-8102

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5860

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

Organizations & group practices 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1174940027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MARIO CAPECCHI RM 2S100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84112",
            "telephone_number": "801-581-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MARIO CAPECCHI RM 2S100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84112",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "USNH Guam",
            "address_2": "Bldg #50 Farenholt Ave",
            "address_purpose": "LOCATION",
            "city": "Agana Heights",
            "state": "GU",
            "postal_code": "96910",
            "country_code": "US",
            "telephone_number": "671-344-9340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "DEREK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "14212374-1205",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0116027479",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101258688",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "UT",
            "license": "14212374-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgrady755007@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "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.