Active NPI
Richard Harry McIlroy Jr., MD
- Specialist
- Salt Lake City, UT
National Provider Identifier
1699862060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9155
- Practice address
- 4021 S 700 E
Suite 300
Salt Lake City, UT 84107-2192 - Phone
- (800) 328-3048
- Fax
- (801) 264-6463
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9155 | ND | Primary |
Addresses
Primary practice location
4021 S 700 E
Suite 300
Salt Lake City, UT 84107-2192
Mailing address
551 North 800 West
Tetonia, ID 83452
Phone (208) 456-0984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12024 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9155 | ND | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1699862060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 NORTH 800 WEST",
"city": "TETONIA",
"state": "ID",
"postal_code": "83452",
"telephone_number": "208-456-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 S 700 E",
"address_2": "SUITE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072192",
"telephone_number": "800-328-3048",
"fax_number": "801-264-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCILROY",
"first_name": "RICHARD",
"middle_name": "HARRY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ND",
"license": "9155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12024",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.