Individual provider Active NPI

Mark Kane Dodson, M.D.

  • Gynecologic Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1275570467
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
293511-1205 Issued in UT
Practice address
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone
(801) 213-2239
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 19207 TN
Gynecologic Oncology Physician 207VX0201X 12263 MS
Gynecologic Oncology Physician 207VX0201X 293511-1205 UT Primary

Addresses

Primary practice location

50 N Medical Dr
Salt Lake City, UT 84132-0001

Mailing address

PO Box 413028
Salt Lake City, UT 84141-3028
Phone (801) 213-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdodsonmd44572@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031205000723 UT Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 6901701432 Reassigns benefits to 4 organizations
I20071024000208 MT Practitioner - Gynecological OncologyPractitioner - Family Practice 6901701432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
East Tennessee State University Quillen College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

1117 29TH St S
Great Falls, MT 59405-5306
Phone (406) 455-5000

324 E 10TH Ave
Suite 200
Salt Lake City, UT 84103-2869
Phone (801) 408-7500

325 8TH Ave
Salt Lake City, UT 84143-0001
Phone (801) 408-3617

50 N Medical Dr
U of U Department of OB/GYN Gynecol
Salt Lake City, UT 84132-0100
Phone (801) 587-6336

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
93.24
Promoting interoperability
100
Improvement activities
40
Cost
45.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12263MSMDGynecologic Oncology Physician
19207TNMDGynecologic Oncology Physician
293511-1205UTMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 1, 2008 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Benefis Hospitals Inc CurrentSince Nov 2, 2011 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Specialty Services Current Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Specialty Services CurrentSince Feb 1, 2015 Accepting new patients
Ihc Health Services Inc. CurrentSince Jul 1, 2008 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 11, 2023 Accepting new patients
University of Utah Specialty Services Gynecologic Oncology CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

2720 10th Ave S
#1
Great Falls, MT 59405

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1117 29th St S
Great Falls, MT 59405
Phone (406) 731-8150

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1117 29th St S
Ste 200
Great Falls, MT 59405
Phone (406) 731-8245

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

324 Tenth Ave
Ste 200
Salt Lake City, UT 84103
Phone (801) 355-9951

50 N Medical Dr
#U
Salt Lake Cty, UT 84132
Phone (801) 581-4314

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

2000 Circle of Hope Dr
Slc, UT 84112
Phone (801) 581-7840

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

370 Ninth Ave
Ste 101
Slc, UT 84103
Phone (801) 408-2999

Interoperability endpoints

  • Direct secure messaging: mdodson21233@benefishs.direct-ci.com

Organizations & group practices 14

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.

View all 14

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1275570467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413028",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841413028",
            "telephone_number": "801-213-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-213-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "MARK",
        "middle_name": "KANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "19207",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MS",
            "license": "12263",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "UT",
            "license": "293511-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdodsonmd44572@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

Verify at the official NPI Registry.