Active NPI
Mark Kane Dodson, M.D.
- Gynecologic Oncology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 293511-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Ihc Health Services Inc
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 100
- Quality
- 62.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.61 of 100
- Quality
- 93.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 45.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12263 | MS | MD | Gynecologic Oncology Physician |
| 19207 | TN | MD | Gynecologic Oncology Physician |
| 293511-1205 | UT | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Specialty Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Specialty Services | Current | Accepting new patients | |
| Ihc Health Services Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| University of Utah Specialty Services | Gynecologic Oncology | Current | 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
- 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.
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1043614811
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Family Medicine Physician
- Roy, UT
- NPI 1053441873
-
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1841528726
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Occupational Medicine Physician
- Salt Lake City, UT
- NPI 1649674417
-
- Gynecologic Oncology Physician
- Salt Lake City, UT
- NPI 1699179754
-
- Maternal & Fetal Medicine Physician
- Elko, NV
- NPI 1316324973
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1487734976
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.