Active NPI
Mark Rapaport, M.D.
- Psychiatry Physician
- Salt Lake City, UT
National Provider Identifier
1194709998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12199014-1205
- Practice address
- 501 S Chipeta Way RM 1838
Salt Lake City, UT 84108-1222 - Phone
- (801) 587-8626
- NPI assigned
- Dec 5, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G50476 | CA | |
| Psychiatry Physician | 2084P0800X | 066799 | GA | |
| Psychiatry Physician | 2084P0800X | 12199014-1205 | UT | Primary |
Addresses
Primary practice location
501 S Chipeta Way RM 1838
Salt Lake City, UT 84108-1222
Mailing address
501 S Chipeta Way RM 1838
Salt Lake City, UT 84108-1222
Phone (801) 587-8626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G504760 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | mark.rapaport@hsc.utah.edu | ||
| Direct Messaging Address | MRAPAPORT514597@DIRECT.MED.UTAH.EDU | Direct | UNIVERSITY OF UTAH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Behavioral Health Services | Psychiatry | Current | Accepting new patients |
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Current | Accepting new patients |
Locations
501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Organizations & group practices 3
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.
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- NPI 1740158955
-
- Neurology Physician
- Salt Lake City, UT
- NPI 1992103873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1194709998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S CHIPETA WAY RM 1838",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081222",
"telephone_number": "801-587-8626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S CHIPETA WAY RM 1838",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081222",
"telephone_number": "801-587-8626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPAPORT",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G50476",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "066799",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "12199014-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G504760",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "mark.rapaport@hsc.utah.edu",
"affiliation": "N",
"address_1": "501 S Chipeta Way Rm 1838",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841081222",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MRAPAPORT514597@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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.