NPIMap

Individual provider Active NPI

Mark L Martinez, MD

  • Pulmonary Disease Physician
  • Salt Lake City, UT
National Provider Identifier
1508861964
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4975474-1205 Issued in UT
Practice address
8 TH Avenue and C St
Salt Lake City, UT 84143-0001
Phone
(801) 408-7100
Fax
(801) 296-1715
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4975474-1205 UT Primary

Addresses

Primary practice location

8 TH Avenue and C St
Salt Lake City, UT 84143-0001

Mailing address

PO Box 1249
Bountiful, UT 84011-1249
Phone (801) 296-2113

Other identifiers 1

IdentifierTypeStateIssuer
1508861964MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000457 UT Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7911942909 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
University of Utah School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scenic Way LLCGroup PAC ID 1355786765, 5 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Silverton Group LLCGroup PAC ID 5395884019, 5 clinicians

Practice addresses (Care Compare)

5097 S 900
Suite 100
Murray, UT 84117-5725
Phone (801) 576-1455

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-3446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.07

Merit-based Incentive Payment System (MIPS)

Final score
99.54 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Group LLC CurrentSince Oct 21, 2009 Accepting new patients
Hospice for Utah Inc. CurrentSince May 16, 2017 Accepting new patients
Ihc Health Services, Inc. CurrentSince Dec 8, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Valley Behavioral Health Incorporated CurrentSince Jul 27, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Dec 8, 2024 Accepting new patients
Valley Mental Health Incorporated Current Accepting new patients
Scenic Way LLC CurrentSince Dec 1, 2023 Accepting new patients
Paramount Healthcare, LLC PastSince Jul 25, 2013 Accepting new patients
Tooele Clinic Corp Past Accepting new patients

Locations

401 S 400 E
Bountiful, UT 84010
Phone (801) 295-2361

11639 S 700 E
Ste 100
Draper, UT 84020
Phone (801) 576-1455

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

5097 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 576-1455

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

8 Th Ave And C St
Salt Lake City, UT 84143
Phone (801) 408-5482

4252 S Birkhill Blvd
Salt Lake City, UT 84107
Phone (385) 425-0050

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

4460 S Highland Dr
Ste 300
Slc, UT 84124
Phone (801) 273-6300

4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

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

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

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rocky Mountain Care- Cottage on VineMurray, UT, CCN 465125 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2023
Apr 1, 2023
Rocky Mountain Care - Hunter HollowWest Valley City, UT, CCN 465075 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2023
Apr 1, 2023
Provo Rehabilitation and NursingProvo, UT, CCN 465119 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 May 30, 2024
May 30, 2024
May 30, 2024
South Davis Specialty CareBountiful, UT, CCN 465187 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 May 1, 2024
May 1, 2024
Jul 10, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 11

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1508861964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1249",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840111249",
            "telephone_number": "801-296-2113",
            "fax_number": "801-296-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TH AVENUE AND C ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841430001",
            "telephone_number": "801-408-7100",
            "fax_number": "801-296-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "4975474-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508861964",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.