Mark E Moritz, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

326708-0501 Issued in UT

Practice address

1220 E 3900 S Ste 4D
Salt Lake City, UT 84124-1383

Phone

(801) 269-9939

Fax

(801) 269-9949

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: saltlakecitypodiatry.markmortiz@113915.advancedmd-direct.com

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.

• Park City Podiatry LLC

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1437116266
  NPD
• Northern Utah Healthcare Corporation

  • Psychiatric Hospital Unit
  • Salt Lake City, UT
  • NPI 1457794323
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1245297688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840650404",
            "telephone_number": "801-269-9939",
            "fax_number": "801-405-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 4D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241383",
            "telephone_number": "801-269-9939",
            "fax_number": "801-269-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "326708-8907",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "326708-0501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91549704030",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Endi Moric, MD
• Isabella Rose Moriconi, DPT
• Megan Morin-Long, RN
• Sylvia Morin, PNP
• Shannon Moris
• Hannah Elizabeth Morley
• Kelly Ann Morley
• Callie Lorraine Morlock, DPM
• Kathleen Jennings Moroz
• David John Morrell, MD

• Podiatrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.

Verify at the official NPI Registry.