Active NPI
David Q. Trac, MD, PHD
- Emergency Medicine Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 12952643-1205
- Practice address
- 30 N 1900 E RM 1C026
Salt Lake City, UT 84132-0002 - Phone
- (801) 581-2272
- NPI assigned
- Jul 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 04-50072 | KS | |
| Emergency Medicine Physician | 207P00000X | 4301511326 | MI | |
| Emergency Medicine Physician | 207P00000X | 73231 | AZ | |
| Emergency Medicine Physician | 207P00000X | 12952643-1205 | UT | Primary |
Addresses
Primary practice location
30 N 1900 E RM 1C026
Salt Lake City, UT 84132-0002
Mailing address
5672 Pendleton Dr
Orlando, FL 32839-7330
Phone (407) 790-5411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TX, AZ, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Emory University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Ironwood Hospital and Clinics Inc
Practice addresses (Care Compare)
1400 W Ice Lake Rd
Aspirus Iron River Hospital
Iron River, MI 49935-9526
Phone (906) 265-6121
483 W Seed Farm Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (602) 528-7100
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10565 Grand View Lane
Ironwood, MI 49938-9622
N10565 Grandview Lane
Ironwood, MI 49938-9622
N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.21 of 100
- Quality
- 76.88
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 73.83
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 89.76
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Saint Luke'S Hospital of Allen County, Inc | Current | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Family Medicine | Current | Accepting new patients |
| Gila River Health Care | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Innova Emergency Medical Associates PC | Emergency Medicine | Current | Accepting new patients |
| Saint Luke'S Hospital of Allen County, Inc | Current | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
29980 Network Pl
Chicago, IL 60673
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000
315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
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.
-
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
-
- Emergency Medicine Physician
- Trinidad, CO
- NPI 1295178978
AZ, KS
-
- Critical Access Hospital
- Iola, KS
- NPI 1639185457
-
- Critical Access Hospital
- Garnett, KS
- NPI 1316911878
-
- General Practice Physician
- Garnett, KS
- NPI 1619901725
-
- Rural Health Clinic/Center
- Iron River, MI
- NPI 1306344783
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Medicare Defined Swing Bed Hospital Unit
- Iola, KS
- NPI 1912914888
-
- Rural Health Clinic/Center
- Colony, KS
- NPI 1487075586
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Iron River, MI
- NPI 1457865198
Hospital
-
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1487262028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5672 PENDLETON DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328397330",
"telephone_number": "407-790-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 1C026",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-581-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAC",
"first_name": "DAVID",
"middle_name": "Q.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-20",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "04-50072",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301511326",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "73231",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "12952643-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.