Individual provider Active NPI

Matthew R. Compton, DO

  • Occupational Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1659501443
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
13534934-1204 Issued in UT
Practice address
65 N Mario Capecchi
Salt Lake City, UT 84132-0001
Phone
(801) 581-2121
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 13534934-1204 UT Primary
Family Medicine Physician 207Q00000X 6068 NE

Addresses

Primary practice location

65 N Mario Capecchi
Salt Lake City, UT 84132-0001

Mailing address

65 N Mario Capecchi
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

Other practice location 1

7321 Balmer St Bldg 570
Hill AFB, UT 84056-5012
Phone (801) 777-4710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6068NEMDFamily Medicine Physician
13534934-1204UTMDOccupational Medicine Physician
784NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Class Medical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcompton636813@direct.med.utah.edu

Organizations & group practices 1

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1659501443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MARIO CAPECCHI",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MARIO CAPECCHI",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7321 Balmer St Bldg 570",
            "address_purpose": "LOCATION",
            "city": "Hill AFB",
            "state": "UT",
            "postal_code": "840565012",
            "country_code": "US",
            "telephone_number": "801-777-4710",
            "fax_number": "801-795-3897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "MATTHEW",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "UT",
            "license": "13534934-1204",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "6068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.