NPIMap

Individual provider Active NPI

Gabriela Motyckova, MD, PHD

  • Hematology & Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1326174004
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
234610 Issued in MA
Practice address
8TH Avenue and C Street
Blood and Marrow Transplant/Leukemia Program
Salt Lake City, UT 84103-0001
Phone
(801) 408-3043
NPI assigned
Feb 26, 2007
Last updated
May 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 234610 MA
Hematology (Internal Medicine) Physician 207RH0000X 234610 MA
Hematology & Oncology Physician 207RH0003X 234610 MA Primary
Medical Oncology Physician 207RX0202X 234610 MA

Addresses

Primary practice location

8TH Avenue and C Street
Blood and Marrow Transplant/Leukemia Program
Salt Lake City, UT 84103-0001

Mailing address

8 TH Avenue and C St
Blood and Marrow Transplant/Leukemia Program
Salt Lake City, UT 84143-0001
Phone (801) 408-3043

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
I20140609000473 UT Practitioner - Hematology/Oncology 0547438426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Harvard Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

8 TH Ave C St
Salt Lake City, UT 84143-0002
Phone (801) 408-1146

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 1, 2014 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154

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

1281 N 600 E
Logan, UT 84341
Phone (435) 716-6400

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

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

600 S Medical Center Dr
St George, UT 84790
Phone (435) 251-4900

Organizations & group practices 3

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 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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1326174004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TH AVENUE AND C ST",
            "address_2": "BLOOD AND MARROW TRANSPLANT/LEUKEMIA PROGRAM",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841430001",
            "telephone_number": "801-408-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AVENUE AND C STREET",
            "address_2": "BLOOD AND MARROW TRANSPLANT/LEUKEMIA PROGRAM",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841030001",
            "telephone_number": "801-408-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTYCKOVA",
        "first_name": "GABRIELA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234610",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MA",
            "license": "234610",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "234610",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MA",
            "license": "234610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.