Richard J Gregoire, MD, PHD
Individual provider Active NPI Family Medicine Physician · Ogden, UT
NPI 1528066149 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1528066149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 186812-1205 (UT)
- Practice address
- 2240 Adams Ave
Ogden, UT 84401-1511 - Phone
- (801) 393-5355
- Fax
- (801) 394-4609
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- State University of New York at Buffalo School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midtown Community Health Center Inc
Practice addresses (Care Compare)
22 S State St
Clearfield, UT 84015-1043
Phone (801) 334-0030
2240 Adams Ave
Ogden, UT 84401-1511
Phone (801) 393-5355
60 E 3750
South Salt Lake, UT 84115-4428
Phone (801) 486-0911
781 25TH St
Ogden, UT 84401-2509
Phone (801) 622-1451
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060116000111 | UT | Practitioner - Family Practice | 4587688734 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186812-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midtown Community Health Center Inc | Current |
Accepting new patients | |
| Midtown Community Health Center Inc | Current |
Accepting new patients | |
| Midtown Community Health Center Inc | Past | Accepting new patients |
Locations
22 S State St
Clearfield, UT 84015
Phone (801) 525-5000
22 S State St
Ste 1007
Clearfield, UT 84015
Phone (801) 334-0030
2240 Adams Ave
Ogden, UT 84401
Phone (801) 393-5355
670 28th St
Ogden, UT 84403
Phone (801) 393-5355
781 25th St
Ogden, UT 84401
Phone (801) 622-1451
2253 S State St
South Salt Lake, UT 84115
Phone (801) 486-0911
60 E 3750 S
South Salt Lake, UT 84115
Phone (801) 262-3315
Interoperability endpoints
- medical.assistant.ssl.1@32350.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 186812-1205 | UT | Yes |
Addresses
Primary practice location
2240 Adams Ave
Ogden, UT 84401-1511
Mailing address
2240 Adams Ave
Ogden, UT 84401-1511
Phone (801) 393-5355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190958 | Other | UT | INTERMOUNTAIN HEALTH CARE |
| QM0000028199 | Other | UT | ALTIUS |
| 00456 | Medicaid | UT | |
| 0100324 | Other | UNITED HEALTHCARE | |
| PRA03566 | Other | UT | MOLINA HEALTHCARE |
Other providers in Ogden, UT
- Lara Greenleigh
- Amy Greenwall
- Amy Greenwood
- Michael Jonathan Greenwood
- Tyson Greenwood
- Leithan Gregory
- Erin Kim Grey
- Jessica Griffin
- Mary Macdonald Griffin
- Rebekah Griffin
All providers in Ogden, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.