Individual provider Active NPI

Michael Ramit Grant, MD

  • Hospitalist Physician
  • Ogden, UT
National Provider Identifier
1386748986
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
6739089-1205 Issued in UT
Practice address
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone
(801) 442-3059
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6367A WY
Hospitalist Physician 208M00000X 6739089-1205 UT Primary

Addresses

Primary practice location

4401 Harrison Blvd
Ogden, UT 84403-3195

Mailing address

190 Arrowhead Dr
Evanston, WY 82930-9266
Phone (801) 564-1502

Other identifiers 1

IdentifierTypeStateIssuer
119902100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040521000481 WY Practitioner - Internal Medicine 9638160708 Reassigns benefits to 1 organization
I20080618000112 UT Practitioner - HospitalistPractitioner - General SurgeryPractitioner - Internal Medicine 9638160708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone (801) 387-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Apr 7, 2014 Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 7, 2014 Accepting new patients
Evanston Hospital Corporation CurrentSince Mar 1, 2015 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Nov 17, 2014 Accepting new patients
Evanston Hospital Corporation CurrentSince Mar 1, 2015 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Nov 17, 2014 Accepting new patients
Total Family Health, PC Past Accepting new patients
Grant Internal Medicine PC PastSince Feb 1, 2003 Accepting new patients
Evanston Clinic Corp Internal Medicine PastSince Sep 26, 2012 Accepting new patients

Locations

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

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

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1583/brand/2/csg/28/fhir/r4
  • Direct secure messaging: mrgrant@yourcarecommunity.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386748986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ARROWHEAD DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309266",
            "telephone_number": "801-564-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033195",
            "telephone_number": "801-442-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MICHAEL",
        "middle_name": "RAMIT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "6367A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "6739089-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119902100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.