NPIMap

Individual provider Active NPI

Michelle Pepper, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Ogden, UT
National Provider Identifier
1295881811
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
7245724-1205 Issued in UT
Practice address
6112 S 1550 E Ste 202
Ogden, UT 84405-5608
Phone
(385) 432-3240
Fax
(716) 333-8513
NPI assigned
Jan 26, 2007
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 7245724-1205 UT
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 47494 CO
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 7245724-1205 UT Primary

Addresses

Primary practice location

6112 S 1550 E Ste 202
Ogden, UT 84405-5608

Mailing address

6112 S 1550 E Ste 202
Ogden, UT 84405-5608
Phone (385) 432-3240

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
I20090811000502 UT Practitioner - Physical Medicine and Rehabilitation 4587718564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Utah School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6112 S 1550
Suite 202
Ogden, UT 84405-5608
Phone (385) 432-3240

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47494COMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Pepper MD PC CurrentSince Oct 2, 2020 Accepting new patients
U-U Rehabilitation Medicine Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1551 Renaissance Towne Dr
Ste 400
Bountiful, UT 84010
Phone (801) 294-7246

6112 S 1550 E
Ste 202
South Ogden, UT 84405
Phone (385) 432-3240

Interoperability endpoints

  • Direct secure messaging: mpepper@hai1735.srs-direct.com

Organizations & group practices 2

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 8

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1295881811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E STE 202",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055608",
            "telephone_number": "385-432-3240",
            "fax_number": "716-333-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E STE 202",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055608",
            "telephone_number": "385-432-3240",
            "fax_number": "716-333-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "7245724-1205",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CO",
            "license": "47494",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "UT",
            "license": "7245724-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.