NPIMap

Individual provider Active NPI

David Samuel Massinople, M.D.

  • Cardiovascular Disease Physician
  • West Jordan, UT
National Provider Identifier
1255541785
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6911255-1205 Issued in UT
Practice address
3570 W 9000 S Ste 110
West Jordan, UT 84088-8870
Phone
(801) 263-2370
NPI assigned
May 23, 2007
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6911255-1205 UT Primary

Addresses

Primary practice location

3570 W 9000 S Ste 110
West Jordan, UT 84088-8870

Mailing address

5979 S Fashion Blvd
Murray, UT 84107-7364
Phone (801) 263-2370

Other practice location 1

5979 S Fashion Blvd
Murray, UT 84107-7364
Phone (801) 263-2370

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
I20080715000047 UT Practitioner - Cardiovascular Disease (Cardiology) 9537247770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
West Virginia University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

3000 N Triumph Blvd
Lehi, UT 84043-7186

3336 S 4155
West Valley City, UT 84120

3584 W 9000
Suite 304
West Jordan, UT 84088-4775
Phone (801) 263-2370

82 S 1100
Suite 103
Salt Lake City, UT 84102-1889
Phone (801) 505-5370

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6911255-1205UTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

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

3570 W 9000 S
Ste 110
West Jordan, UT 84088
Phone (208) 201-1249

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

196 Arrowhead Dr
Ste 5
Evanston, WY 82930
Phone (307) 783-8364

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1255541785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 S FASHION BLVD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077364",
            "telephone_number": "801-263-2370",
            "fax_number": "801-265-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 W 9000 S STE 110",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888870",
            "telephone_number": "801-263-2370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5979 S Fashion Blvd",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841077364",
            "country_code": "US",
            "telephone_number": "801-263-2370",
            "fax_number": "801-265-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSINOPLE",
        "first_name": "DAVID",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "6911255-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.