Individual provider Active NPI

Matthew Allan McNairy, MD

  • Diagnostic Radiology Physician
  • Provo, UT
National Provider Identifier
1265404834
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6890853-1205 Issued in UT
Practice address
1034 N 500 W
Uvrmc Dept. of Radiology
Provo, UT 84604-3380
Phone
(801) 357-4423
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 6890853-1205 UT Primary

Addresses

Primary practice location

1034 N 500 W
Uvrmc Dept. of Radiology
Provo, UT 84604-3380

Mailing address

560 W 800 N
Orem, UT 84057-3746
Phone (801) 225-6246

Other identifiers 1

IdentifierTypeStateIssuer
1295034908MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080930000752 UT Practitioner - Diagnostic Radiology 8628023652 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Utah Valley Radiology Associates IncGroup PAC ID 1759286990, 35 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

280 River Park Dr
Suite 120
Provo, UT 84604-5796
Phone (801) 229-2011

560 W 800
Orem, UT 84057-3746
Phone (801) 525-7770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6890853-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. George Radiology Inc. Diagnostic Radiology CurrentSince Dec 21, 2009 Accepting new patients
Ihc Health Services, Inc. CurrentSince Oct 1, 2008 Accepting new patients
Tellica Imaging, LLC CurrentSince Jan 1, 2024 Accepting new patients
Bakorp, L.L.C. CurrentSince May 14, 2013 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc CurrentSince Oct 1, 2008 Accepting new patients
Green River Radiology, P.C. Diagnostic Radiology CurrentSince Dec 15, 2021 Accepting new patients
Riverwoods Urgent Care Center LC PastSince Oct 6, 2003 Accepting new patients
Ihc Health Services Inc Diagnostic Radiology Past Accepting new patients
Ubmc Anesthesiology PastSince Jul 1, 2020 Accepting new patients

Locations

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

126 White Sage Ave
Delta, UT 84624
Phone (435) 864-5591

674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

560 W 800 N
Orem, UT 84057
Phone (801) 701-6504

412 W 800 N
Orem, UT 84057
Phone (801) 235-7246

1975 N State St
Orem, UT 84057
Phone (801) 714-5000

458 W 800 N
Orem, UT 84057
Phone (801) 802-9728

331 N 400 W
Orem, UT 84057
Phone (801) 224-4080

900 Round Valley Dr
Park City, UT 84060
Phone (435) 658-7000

854 S Turf Farm Rd
Unit 1
Payson, UT 84651
Phone (801) 357-2860

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

1055 N 300 W
Ste 104
Provo, UT 84604
Phone (801) 357-7525

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586

250 W 300 N
Ste 752
Roosevelt, UT 84066
Phone (435) 722-4691

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200

762 W 400 S
Springville, UT 84663
Phone (801) 429-1200

1308 E 900 S
Ste C
St George, UT 84790
Phone (435) 673-2301

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

306 W River Bend Ln
Sundance, UT 84604
Phone (801) 226-5838

3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 7

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1265404834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573746",
            "telephone_number": "801-225-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N 500 W",
            "address_2": "UVRMC DEPT. OF RADIOLOGY",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043380",
            "telephone_number": "801-357-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAIRY",
        "first_name": "MATTHEW",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "6890853-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295034908",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.