Individual provider Active NPI

Christopher M Hull, M.D.

  • Dermatology Physician
  • Salt Lake City, UT
National Provider Identifier
1477659746
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
49840081205 Issued in UT
Practice address
50 N Medical Dr
Salt Lake City, UT 84132-1100
Phone
(801) 581-2955
NPI assigned
Sep 15, 2006
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 49840081205 UT Primary
Procedural Dermatology Physician 207NS0135X 49840081205 UT

Addresses

Primary practice location

50 N Medical Dr
Salt Lake City, UT 84132-1100

Mailing address

PO Box 3208
Salt Lake City, UT 84110-3208
Phone (801) 587-6340

Other identifiers 3

IdentifierTypeStateIssuer
806846100MedicaidID
100507189MedicaidNV
870468377001MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chull49537@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, HI, NV4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040520001480 UT Practitioner - Dermatology 7517958291 Reassigns benefits to 4 organizations
I20200324003101 WY Practitioner - Dermatology 7517958291 Reassigns benefits to 1 organization
I20200406001868 HI Practitioner - Dermatology 7517958291 Reassigns benefits to 2 organizations
I20210825000717 NV Practitioner - Dermatology 7517958291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology Division University of Utah Medical CenterGroup PAC ID 9638073497, 73 clinicians
Makana North Shore DermatologyGroup PAC ID 1951891902, 7 clinicians

Practice addresses (Care Compare)

1577 Dewar Dr
Suite 109
Rock Springs, WY 82901-5716
Phone (801) 581-2955

247 Bluffs Ave
Suite 102
Elko, NV 89801-2488
Phone (801) 581-2955

4488 Hanalei Plantation Rd
Princeville, HI 96722-5462
Phone (808) 320-7300

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 587-6340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as group
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
52.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of skin lesions1247
Removal or shaving of skin growth15
Skin biopsy270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49840081205UTMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Makana North Shore Clinic CurrentSince Feb 18, 2020 Accepting new patients
U-U Pediatric Dermatology CurrentSince Aug 6, 2019 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Oct 7, 2025 Accepting new patients
Makana North Shore Dermatology Dermatology CurrentSince Sep 2, 2025 Accepting new patients
Moab Valley Healthcare, Inc CurrentSince Jul 1, 2021 Accepting new patients
Dermatology Division University of Utah Medical Center Dermatology CurrentSince Jul 1, 2004 Accepting new patients
University of Utah Adult Services Past Accepting new patients

Locations

4488 Hanalei Plantation Rd
Princeville, HI 96722
Phone (808) 320-7300

247 Bluffs Ave
Ste 102
Elko, NV 89801
Phone (775) 369-2799

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

476 W Williams Way
Moab, UT 84532
Phone (435) 719-3500

6095 S 300 E
Murray, UT 84107

243 E 6100 S
Salt Lake City, UT 84107
Phone (801) 585-3927

250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003

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

1577 Dewar Dr
Ste 109
Rock Springs, WY 82901
Phone (801) 581-3495

1577 Dewar Dr
Ste 9
Rock Springs, WY 82901

Interoperability endpoints

  • Direct secure messaging: chull49537@direct.med.utah.edu

Organizations & group practices 8

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 4

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1477659746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3208",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103208",
            "telephone_number": "801-587-6340",
            "fax_number": "801-587-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841321100",
            "telephone_number": "801-581-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "49840081205",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "49840081205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806846100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507189",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870468377001",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chull49537@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841321100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.