John T Elliott, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

10318034-1205 Issued in UT

Practice address

5121 S Cottonwood St
Murray, UT 84107-5701

Phone

(801) 507-6600

NPI assigned

Oct 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, UT, NV3 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 3

Specialty

Emergency Medicine

Education

Georgetown University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tahoe Emergency Physicians Medical CorporationGroup PAC ID 0446151674, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
• Barton Memorial Hospital Hospital, South Lake Tahoe, CA, CCN 050352

Merit-based Incentive Payment System (MIPS)

Final score

96.42 of 100Reported as group

Quality

93.48

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jelliot@exer.direct.codonix.com
• Direct secure messaging: jelliot169609@direct.renown.org

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.

• Tahoe Emergency Physicians Medical Corporation

  • Emergency Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1104937408

  CA, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880

  Family Medicine, UT

  Medicare reassignment NPD
• Utah Emergency Physicians

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1588048979

  Emergency Medicine, UT

  Medicare reassignment NPD
• Barton Healthcare System

  • Internal Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1235196015

  CA, Emergency Medicine

  Medicare reassignment NPD
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  • Critical Access Hospital
  • Gardnerville, NV
  • NPI 1396799102

  NV

  Medicare reassignment NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • American Fork, UT
  • NPI 1669420014
  NPD
• Barton Healthcare System

  • Emergency Medicine Physician
  • Twin Bridges, CA
  • NPI 1114033529

  Emergency Medicine

  NPD
• Barton Healthcare System

  • Diagnostic Radiology Physician
  • Stateline, NV
  • NPI 1467046102
  NPD
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  • Community/Behavioral Health Agency
  • Gardnerville, NV
  • NPI 1104482918
  NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1669498069
  NPD (past)
• Barton Healthcare System

  • Rural Health Clinic/Center
  • South Lake Tahoe, CA
  • NPI 1053310326
  NPD (past)
• Carson Valley Medical Center Rural Health Clinic

  • Internal Medicine Physician
  • Gardnerville, NV
  • NPI 1174708879
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Barton Healthcare System

  • General Acute Care Hospital
  • South Lake Tahoe, CA
  • NPI 1003867565

  Hospital

  Care Compare affiliation
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  • Community/Behavioral Health Agency
  • Gardnerville, NV
  • NPI 1104482918

  Hospital

  Care Compare affiliation
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  • Critical Access Hospital
  • Gardnerville, NV
  • NPI 1396799102

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306199898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-5030",
            "fax_number": "215-707-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 S COTTONWOOD ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075701",
            "telephone_number": "801-507-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "215-707-5030",
            "fax_number": "215-707-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A123316",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD454187",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "10318034-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lou Eldredge
• Eli Healthcare LLC
• Nathan B Eliason, MD
• Shannon M Elite
• Brittney Ellingson, BCBA
• Kelli Elliott, PT, DPT
• Malia Ellis
• Zachery Ellis, OTR/L
• Elowen Counseling PLLC
• Mansoor S Emam, MD

• All providers in Murray, UT
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.