Individual provider Active NPI

Ryan Max Gilbert, M.D.

  • Otolaryngology Physician
  • West Jordan, UT
National Provider Identifier
1497930234
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
344699-1205 Issued in UT
Practice address
3584 W 9000 S
Suite 311
West Jordan, UT 84088-5710
Phone
(801) 566-8304
Fax
(801) 566-8330
NPI assigned
Dec 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 344699-1205 UT Primary

Addresses

Primary practice location

3584 W 9000 S
Suite 311
West Jordan, UT 84088-5710

Mailing address

3584 W 9000 S
Suite 311
West Jordan, UT 84088-5710
Phone (801) 566-8304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000732 UT Practitioner - Otolaryngology 7719031582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Utah School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Valley Ear Nose and Throat Associates PLLCGroup PAC ID 9335125855, 10 clinicians

Practice addresses (Care Compare)

3584 W 9000
Suite 311
West Jordan, UT 84088-4775
Phone (801) 566-8304

Hospital & facility affiliations

  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058
  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344699-1205UTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Valley Ear Nose and Throat Associates, PLLC Otolaryngology CurrentSince Oct 8, 2017 Accepting new patients
Ryan Gilbert, M.D., P.C. Otolaryngology PastSince Aug 12, 2009 Accepting new patients

Locations

4651 W 13400 S
Ste 120
Riverton, UT 84096

5169 S Cottonwood St
Ste 310
Salt Lake City, UT 84107
Phone (801) 507-3444

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

24 W Sergeant Court Dr
Ste 102
Saratoga Springs, UT 84045
Phone (801) 407-3048

3584 W 9000 S
West Jordan, UT 84088
Phone (801) 243-2596

3584 W 9000 S
Ste 311
West Jordan, UT 84088
Phone (801) 566-8304

Interoperability endpoints

  • Direct secure messaging: southvalleyent.ryangilbert@153057.advancedmd-direct.com

Organizations & group practices 2

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1497930234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "SUITE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885710",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "SUITE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885710",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "RYAN",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "344699-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.