Active NPI
Derek William Grady, M.D.
- Diagnostic Radiology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 14212374-1205
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 93.25
- Improvement activities
- 40
- Cost
- 79.74
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 86.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.77 of 100
- Quality
- 80.67
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95.87
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.35 of 100
- Quality
- 53.28
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 63.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 73.31
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 62
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 82.56
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 69.49
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.08 of 100
- Quality
- 83.33
- Improvement activities
- 40
- Cost
- 76.35
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.38
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14212374-1205 | UT | MD | Diagnostic Radiology Physician |
| 0116027479 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Community Hospital | Current | Accepting new patients | |
| Seven Star Hospital Associates Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Southern Inyo Healthcare District | Current | Accepting new patients | |
| Radiologica Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Adventist Health Mendocino Coast | Current | Accepting new patients | |
| KC Tan, M.D. Medical Corporation | Neuroradiology | Current | Accepting new patients |
| Ukiah Adventist Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Adventist Health Medical Center Tehachapi | General Practice | Current | Accepting new patients |
| Reedley Community Hospital | Current | Accepting new patients | |
| Los Alamitos Radiology Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Sol Radiology, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Adventist Health Medical Center Tehachapi | Current | Accepting new patients | |
| Adventist Health Mendocino Coast | Current | Accepting new patients | |
| Hanford Community Hospital | Current | Accepting new patients | |
| San Joaquin Community Hospital | Current | Accepting new patients | |
| Adventist Health Delano | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Advanced Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Rideout Memorial Hospital | Current | Accepting new patients | |
| San Joaquin Community Hospital | Current | Accepting new patients | |
| Adventist Health Tulare | Current | Accepting new patients | |
| Reedley Community Hospital | Current | Accepting new patients | |
| Southern Inyo Healthcare District | Current | Accepting new patients | |
| Arcadia Radiology Medical Group a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Adventist Health Delano | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Takecare Insurance Company Inc. | Current | 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
- https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
- 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.
-
- Diagnostic Radiology Physician
- San Andreas, CA
- NPI 1073000105
-
dba FHP Health Center
- Health Service Clinic/Center
- Tamuning, GU
- NPI 1972565240
-
- Diagnostic Radiology Physician
- Stockton, CA
- NPI 1669123626
-
dba Delano Regional Medical Center
- Registered Dietitian
- Delano, CA
- NPI 1578798047
-
dba Adventist Health Medical Center Tehachapi Valley
- Critical Access Hospital
- Tehachapi, CA
- NPI 1275538530
General Practice
-
dba Tulare Regional Medical Center
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
- Diagnostic Radiology Physician
- Arcadia, CA
- NPI 1841228764
GU
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- Neuroradiology Physician
- Monterey Park, CA
- NPI 1215394036
-
dba Adventist Health Reedley
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
-
dba Adventist Health and Rideout
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
GU
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.