Individual provider Active NPI

Marta Elise Heilbrun, M.D.

  • Diagnostic Radiology Physician
  • Murray, UT
National Provider Identifier
1447204672
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
327419-1205 Issued in UT
Practice address
5217 S State St Ste 200
Murray, UT 84107-4812
Phone
(801) 313-4118
NPI assigned
May 20, 2006
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 78860 GA
Diagnostic Radiology Physician 2085R0202X 200400042 NC
Diagnostic Radiology Physician 2085R0202X 327419-1205 UT Primary

Addresses

Primary practice location

5217 S State St Ste 200
Murray, UT 84107-4812

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Other practice location 1

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WA2 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
I20061002000701 UT Practitioner - Diagnostic Radiology 0547298804 Reassigns benefits to 3 organizations
I20260318000777 WA Practitioner - Diagnostic Radiology 0547298804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Tellica Imaging - Washington LLCGroup PAC ID 0648757393, 50 clinicians

Practice addresses (Care Compare)

1333 N Main St
Suite 1
Cedar City, UT 84721-9314
Phone (435) 868-5000

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

2941 S 38TH St
Suite E
Tacoma, WA 98409-5647
Phone (253) 534-8689

5121 S Cottonwood St
Murray, UT 84107-5701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78860GAMDDiagnostic Radiology Physician
200400042NCMDDiagnostic Radiology Physician
327419-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jul 31, 2022 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Tellica Imaging, LLC CurrentSince Aug 29, 2022 Accepting new patients
Tellica Imaging, LLC CurrentSince Mar 6, 2023 Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology CurrentSince Jan 30, 2026 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Jul 31, 2022 Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology CurrentSince Jan 30, 2026 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
Tellica Imaging, LLC CurrentSince Nov 7, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 12, 2024 Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Feb 1, 2015 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Tellica Imaging, LLC CurrentSince Apr 13, 2023 Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Nov 7, 2023 Accepting new patients

Locations

5217 S State St
Salt Lake City, UT 84107
Phone (801) 313-4110

5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100

36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1447204672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 S STATE ST STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074812",
            "telephone_number": "801-313-4118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320001",
            "country_code": "US",
            "telephone_number": "801-581-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEILBRUN",
        "first_name": "MARTA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "78860",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200400042",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "327419-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.