Individual provider Active NPI

Jamie M Monroe, MD

  • Ophthalmology Physician
  • Orem, UT
National Provider Identifier
1619075678
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
261919-8905 Issued in UT
Practice address
175 N 400 W
Orem, UT 84057-1909
Phone
(801) 224-6767
Fax
(801) 221-1052
NPI assigned
Sep 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 261919-8905 UT Primary

Addresses

Primary practice location

175 N 400 W
Orem, UT 84057-1909

Mailing address

PO Box 30015
DPT 93
Salt Lake City, UT 84130-0015
Phone (801) 476-0494

Other practice location 1

555 E Broadway Ave Ste 214
Jackson, WY 83001-8640
Phone (307) 733-1051 ext. 83001

Other identifiers 3

IdentifierTypeStateIssuer
1164613790OtherUTFACILITY NPI
1619075678OtherUTDR MONROE NPI
1700927043OtherUTGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050324000453 UT Practitioner - Ophthalmology 0749249597 Reassigns benefits to 2 organizations
I20070906000158 WY Practitioner - Ophthalmology 0749249597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Ogden Eye Center LLCGroup PAC ID 2860474962, 19 clinicians

Practice addresses (Care Compare)

555 E Broadway Ave
Suite 214
Jackson, WY 83001-8640
Phone (307) 733-1051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261919-8905UTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Ogden Eye Center LLC Ophthalmology CurrentSince Jun 17, 2018 Accepting new patients
Oculus Surgery Center, LLC PastSince Oct 13, 2024 Accepting new patients

Locations

4360 Washington Blvd
Ogden, UT 84403
Phone (801) 476-0494

175 N 400 W
Ste C10
Orem, UT 84057
Phone (801) 224-6767

Interoperability endpoints

  • Direct secure messaging: drmonroe@utaheye.imwdirect.com

Organizations & group practices 4

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.

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619075678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30015",
            "address_2": "DPT 93",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300015",
            "telephone_number": "801-476-0494",
            "fax_number": "801-479-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N 400 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "801-224-6767",
            "fax_number": "801-221-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 E Broadway Ave Ste 214",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018640",
            "country_code": "US",
            "telephone_number": "307-733-1051 x83001",
            "fax_number": "801-479-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "JAMIE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "261919-8905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1164613790",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MONROE NPI",
            "identifier": "1619075678",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1700927043",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.