Individual provider Active NPI

Mitchell J Goff, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Salt Lake City, UT
National Provider Identifier
1578595153
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
7540912-1205 Issued in UT
Practice address
4400 S 700 E Ste 200
Salt Lake City, UT 84107-3053
Phone
(801) 264-4444
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 7540912-1205 UT Primary

Addresses

Primary practice location

4400 S 700 E Ste 200
Salt Lake City, UT 84107-3053

Mailing address

4400 S 700 E Ste 200
Salt Lake City, UT 84107-3053
Phone (801) 264-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WY, UT, MT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100406000600 NV Practitioner - Ophthalmology 8426090630 Reassigns benefits to 1 organization
I20100414000923 WY Practitioner - Ophthalmology 8426090630 Reassigns benefits to 1 organization
I20100414000948 UT Practitioner - Ophthalmology 8426090630 Reassigns benefits to 2 organizations
I20100414000980 MT Practitioner - Ophthalmology 8426090630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Retina ConsultantsGroup PAC ID 9830172618, 3 clinicians
Eye Institute of Utah IncGroup PAC ID 3678556438, 9 clinicians

Practice addresses (Care Compare)

1250 Lamoille Hwy
Suite 102
Elko, NV 89801-4397
Phone (801) 264-4444

1791 E 280
Dixie Eye Center
St George, UT 84790-2400
Phone (801) 264-4444

2300 Gasser Rd
Riverton, WY 82501-2204
Phone (801) 264-4444

2475 Village LN
Billings, MT 59102-2497
Phone (406) 252-6608

755 E 3900
Salt Lake City, UT 84107-2105
Phone (801) 266-2283

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7540912-1205UTMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute of Utah Inc Ophthalmology CurrentSince Mar 1, 2025 Accepting new patients
West Coast Retina Medical Group, Inc. Ophthalmology PastSince Apr 1, 1995 Accepting new patients
Northern Utah Healthcare Corporation PastSince Feb 15, 2010 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

755 E 3900 S
Salt Lake Cty, UT 84107
Phone (801) 266-2283

Interoperability endpoints

  • Direct secure messaging: mgoff@directaddress.net

Organizations & group practices 5

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 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1578595153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S 700 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073053",
            "telephone_number": "801-264-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S 700 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073053",
            "telephone_number": "801-264-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "MITCHELL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "7540912-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.