Individual provider Active NPI

Mary Gretchen Mooers, MD

  • Infectious Disease Physician
  • Salt Lake City, UT
National Provider Identifier
1609823889
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
173770-1205 Issued in UT
Practice address
324 Tenth Ave
Suite # 160
Salt Lake City, UT 84103-2853
Phone
(801) 408-5151
Fax
(801) 408-3598
NPI assigned
May 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 173770-1205 UT Primary

Addresses

Primary practice location

324 Tenth Ave
Suite # 160
Salt Lake City, UT 84103-2853

Mailing address

324 Tenth Ave
Suite # 160
Salt Lake City, UT 84103-2853
Phone (801) 408-5151

Other identifiers 9

IdentifierTypeStateIssuer
9200054OtherUTUHC
00558OtherUTIHC
2748OtherUTDESERET MUTUAL
71116OtherUTPEHP #
357645OtherUTMOLINA #
274OtherUTTRICARE #
2099000MedicaidUT
224999OtherUTALTIUS PROVIDER #
870623071M01OtherUTEDUCATORS MUTUAL #

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
I20120202000471 UT Practitioner - Internal MedicinePractitioner - Infectious Disease 1456518455 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Nov 5, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 1, 2021 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 5, 2017 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients

Locations

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

3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400

5171 S Cottonwood St
Ste 350
Salt Lake City, UT 84107
Phone (801) 507-2831

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

324 Tenth Ave
Ste 285
Salt Lake Cty, UT 84103
Phone (801) 321-2888

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609823889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 TENTH AVE",
            "address_2": "SUITE # 160",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032853",
            "telephone_number": "801-408-5151",
            "fax_number": "801-408-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 TENTH AVE",
            "address_2": "SUITE # 160",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032853",
            "telephone_number": "801-408-5151",
            "fax_number": "801-408-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOERS",
        "first_name": "MARY",
        "middle_name": "GRETCHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "UT",
            "license": "173770-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "9200054",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "00558",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "2748",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP #",
            "identifier": "71116",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA #",
            "identifier": "357645",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE #",
            "identifier": "274",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099000",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS PROVIDER #",
            "identifier": "224999",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL #",
            "identifier": "870623071M01",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.