NPIMap

Individual provider Active NPI

Thomas B. Skidmore, MD

  • Radiation Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1194905752
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
8281461-1205 Issued in UT
Practice address
1250 E 3900 S Ste 10
Salt Lake City, UT 84124-1354
Phone
(801) 456-8401
NPI assigned
Nov 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 8281461-1205 UT Primary

Addresses

Primary practice location

1250 E 3900 S Ste 10
Salt Lake City, UT 84124-1354

Mailing address

5150 S 375 E Ste 3
Washington Terrace, UT 84405-4503
Phone (801) 475-6532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120918000220 UT Practitioner - Radiation Oncology 3476701400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Utah School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Cancer Specialists PCGroup PAC ID 1355254749, 48 clinicians

Practice addresses (Care Compare)

5475 S 500
Ogden, UT 84405-6905
Phone (801) 262-9494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
77.34
Promoting interoperability
90
Improvement activities
40
Cost
77.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8281461-1205UTMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Professional Associates LLC Radiation Oncology CurrentSince May 10, 2020 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 5, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 5, 2025 Accepting new patients
Utah Cancer Specialists PC Radiation Oncology CurrentSince Jun 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2132 N Robins Dr
Ste B101
Layton, UT 84041
Phone (801) 807-7777

3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

3592 W 9000 S
Ste 100
West Jordan, UT 84088
Phone (801) 601-2260

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 7

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 6

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": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1194905752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 S 375 E STE 3",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844054503",
            "telephone_number": "801-475-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 10",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241354",
            "telephone_number": "801-456-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "THOMAS",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-11",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "UT",
            "license": "8281461-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.