Individual provider Active NPI

Matthew E Nokes, MD

  • Vascular & Interventional Radiology Physician
  • Provo, UT
National Provider Identifier
1528280385
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
284799-1205 Issued in UT
Practice address
1034 N 500 W
Provo, UT 84604-3380
Phone
(801) 373-7850
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 284799-1205 UT Primary
Diagnostic Radiology Physician 2085R0202X 45051-020 WI
Vascular & Interventional Radiology Physician 2085R0204X 45051-020 WI

Addresses

Primary practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

560W 800 N
Orem, UT 84057-3746
Phone (801) 225-6246

Other identifiers 5

IdentifierTypeStateIssuer
1528280385MedicaidUT
28479912000001OtherUTBLUE CROSS
870284448NKSOtherUTEMIA
107057702101OtherUTIHC
1042298OtherUTDMBA

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
I20070822000935 UT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4587756580 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Valley Radiology Associates IncGroup PAC ID 1759286990, 35 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1055 N 300
Suite 308
Provo, UT 84604-3373
Phone (801) 379-6700

280 River Park Dr
Suite 120
Provo, UT 84604-5796
Phone (801) 229-2011

5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-4800

Hospital & facility affiliations

  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023
  • Park City Hospital Hospital, Park City, UT, CCN 460057
  • Intermountain Health Heber Valley Hospital Hospital, Heber City, UT, CCN 461307
  • San Juan Hospital Hospital, Monticello, UT, CCN 461308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45051-020WIMDDiagnostic Radiology Physician
284799-1205UTMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green River Radiology, P.C. Diagnostic Radiology CurrentSince Dec 15, 2021 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Bakorp, L.L.C. CurrentSince May 14, 2013 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 1, 2007 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 1, 2007 Accepting new patients
Tellica Imaging, LLC CurrentSince Jan 1, 2024 Accepting new patients
St. George Radiology Inc. Diagnostic Radiology CurrentSince Dec 21, 2009 Accepting new patients
Riverwoods Urgent Care Center LC PastSince Oct 6, 2003 Accepting new patients
Ihc Health Services Inc Diagnostic Radiology Past Accepting new patients
Ubmc Anesthesiology PastSince Jul 1, 2020 Accepting new patients

Locations

126 White Sage Ave
Delta, UT 84624
Phone (435) 864-5591

674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

560 W 800 N
Orem, UT 84057
Phone (801) 701-6504

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

1055 N 300 W
Ste 104
Provo, UT 84604
Phone (801) 357-7525

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586

250 W 300 N
Ste 752
Roosevelt, UT 84066
Phone (435) 722-4691

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

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

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

1308 E 900 S
Ste C
St George, UT 84790
Phone (435) 673-2301

3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gxi8616@yourcarecommunity.org

Organizations & group practices 11

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 7

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1528280385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573746",
            "telephone_number": "801-225-6246",
            "fax_number": "801-225-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043380",
            "telephone_number": "801-373-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOKES",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "UT",
            "license": "284799-1205",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "45051-020",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "45051-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528280385",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "28479912000001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA",
            "identifier": "870284448NKS",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107057702101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "1042298",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.