NPIMap

Individual provider Active NPI

Tracy James Robinson, M.D.

  • Diagnostic Radiology Physician
  • Holladay, UT
National Provider Identifier
1689998924
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
325622-1205 Issued in UT
Practice address
1947 E Sycamore LN
Holladay, UT 84117-5130
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Mar 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 325622-1205 UT Primary

Addresses

Primary practice location

1947 E Sycamore LN
Holladay, UT 84117-5130

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170307001383 UT Practitioner - Diagnostic Radiology 4688820731 Reassigns benefits to 5 organizations
I20170330002024 TX Practitioner - Diagnostic Radiology 4688820731 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green River Radiology PCGroup PAC ID 5294123063, 23 clinicians
Tooele Valley Imaging LLCGroup PAC ID 2466624630, 24 clinicians
Utah Imaging Associates IncGroup PAC ID 1355394537, 45 clinicians
Wasatch Imaging LLCGroup PAC ID 7012949522, 16 clinicians

Practice addresses (Care Compare)

12842 S 3600
Suite 100
Riverton, UT 84065-6853
Phone (385) 253-4586

2310 N 400
Suite F
Logan, UT 84341-1788
Phone (435) 258-9598

2356 N 400
Suite 103
Tooele, UT 84074-3409
Phone (435) 882-1674

6243 S Redwood Rd
Suite 130
Taylorsville, UT 84123-6408
Phone (801) 869-5630

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 299-2220

9844 S 1300
Suite 175
Sandy, UT 84094-4688
Phone (801) 576-1290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ton San Xavier Health Center CurrentSince Mar 6, 2017 Accepting new patients
Tanner Memorial Clinic Current Accepting new patients
Wasatch Imaging LLC CurrentSince Sep 15, 2024 Accepting new patients
Tanner Memorial Clinic Family Medicine CurrentSince Nov 12, 2024 Accepting new patients
Tanner Memorial Clinic CurrentSince Nov 12, 2024 Accepting new patients
Tooele Valley Imaging, LLC CurrentSince Oct 1, 2020 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 14, 2018 Accepting new patients
Ton Sells Hospital CurrentSince Mar 6, 2017 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 6, 2017 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 14, 2018 Accepting new patients
Green River Radiology, P.C. Diagnostic Radiology CurrentSince Dec 15, 2021 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Swedish First Hill Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

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

9844 S 1300 E
Ste 175
Sandy, UT 84094
Phone (801) 576-1290

2356 N 400 E
Ste 103
Tooele, UT 84074
Phone (435) 882-1674

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1689998924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 E SYCAMORE LN",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175130",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TRACY",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "325622-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.