Individual provider Active NPI

Peter Hanks Maughan, MD

  • Neurological Surgery Physician
  • Murray, UT
National Provider Identifier
1700066768
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
72721081205 Issued in UT
Practice address
5171 Cottonwood St
Suite 950
Murray, UT 84107-5704
Phone
(801) 507-9555
Fax
(801) 507-9550
NPI assigned
Nov 7, 2007
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 72721081205 UT Primary

Addresses

Primary practice location

5171 Cottonwood St
Suite 950
Murray, UT 84107-5704

Mailing address

5171 Cottonwood St
Suite 950
Murray, UT 84107-5704
Phone (801) 507-9555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@nsamd.directgreeenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AZ2 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
I20090713000553 UT Practitioner - Neurosurgery 9133271968 Reassigns benefits to 3 organizations
I20121207000175 AZ Practitioner - Neurosurgery 9133271968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Utah School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates LLCGroup PAC ID 4587578224, 11 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5171 Cottonwood St
Murray, UT 84107-5713

5171 S Cottonwood St
Suite 810
Murray, UT 84107-5705
Phone (801) 507-9800

5171 S Cottonwood St
Suite 950
Murray, UT 84107-5713
Phone (801) 507-9555

900 Round Valley Dr
Suite 100
Park City, UT 84060-7552
Phone (801) 507-9555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion161
Laminectomy or laminotomy (partial removal of spine bones)46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72721081205UTMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jul 13, 2009 Accepting new patients
District Medical Group, Inc CurrentSince Oct 26, 2012 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Neurosurgical Associates LLC Neurological Surgery CurrentSince Jul 1, 2009 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 13, 2009 Accepting new patients
District Medical Group, Inc CurrentSince Oct 26, 2012 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Ihc Health Services Inc Neurological Surgery Past Accepting new patients

Locations

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

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

900 Round Valley Dr
Ste 100
Park City, UT 84060
Phone (435) 655-6600

5171 S Cottonwood St
Ste 810
Salt Lake City, UT 84107
Phone (801) 507-9800

5171 S Cottonwood St
Ste 950
Salt Lake City, UT 84107
Phone (801) 507-9555

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

Organizations & group practices 10

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 2

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1700066768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 COTTONWOOD ST",
            "address_2": "SUITE 950",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075704",
            "telephone_number": "801-507-9555",
            "fax_number": "801-507-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 COTTONWOOD ST",
            "address_2": "SUITE 950",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075704",
            "telephone_number": "801-507-9555",
            "fax_number": "801-507-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "PETER",
        "middle_name": "HANKS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "72721081205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@nsamd.directgreeenway.com",
            "affiliation": "N",
            "endpointDescription": "Intergy Greenway Direct Messaging Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5171 Cottonwood St",
            "address_2": "Suite 950",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841075704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.