Diane Alonso, MD

Individual provider Active NPI Transplant Surgery Physician · Murray, UT

NPI 1275740607 · NPPES record last updated Mar 30, 2026

Key facts

NPI
1275740607
Entity type
Individual (NPI type 1)
Primary specialty
Transplant Surgery Physician 204F00000X
License
5211258-1205 (UT)
Practice address
5171 S Cottonwood St Ste 210
Murray, UT 84107-5718
Phone
(801) 507-3380
Fax
(801) 507-8343
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5211258-1205UTMDTransplant Surgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 5211258-1205 UT Yes

Addresses

Primary practice location

5171 S Cottonwood St Ste 210
Murray, UT 84107-5718

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-3380

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service Other Bluemark LLC / Office Ally
Direct Messaging Address diane.alonso@direct.imail.org

Other providers in Murray, UT

All providers in Murray, UT · Transplant Surgery Physician in Utah

Sources for this page

Verify at the official NPI Registry.