NPIMap

Individual provider Active NPI

Alli Straubhar

  • Gynecologic Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1700263902
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
10105439-1205 Issued in UT
Practice address
50 N Medical Dr
Department of Obstetrics & Gynecology
Salt Lake City, UT 84132-0001
Phone
(801) 581-2121
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 10105439-1205 UT Primary

Addresses

Primary practice location

50 N Medical Dr
Department of Obstetrics & Gynecology
Salt Lake City, UT 84132-0001

Mailing address

1263 E Lorraine Dr
Salt Lake City, UT 84106-2510
Phone (208) 794-6176

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address astraubhar45595@direct.med.utah.edu Direct University of Utah

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830003830 UT Practitioner - Gynecological Oncology 2769763846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

324 E 10TH Ave
Suite 249
Salt Lake City, UT 84103-2889
Phone (801) 408-5883

50 N Medical Dr
U of U Department of OB/GYN Gynecol
Salt Lake City, UT 84132-0100
Phone (801) 587-6336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
93.24
Promoting interoperability
100
Improvement activities
40
Cost
45.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
University of Utah Specialty Services CurrentSince Aug 15, 2023 Accepting new patients
University of Utah Specialty Services CurrentSince Aug 15, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 10, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 10, 2023 Accepting new patients
University of Utah Specialty Services Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

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

5063 S Cottonwood St
Ste 450
Murray, UT 84107
Phone (801) 408-5155

5063 S Cottonwood St
Ste 400
Salt Lake City, UT 84107
Phone (801) 507-1850

324 Tenth Ave
Ste 200
Salt Lake City, UT 84103
Phone (801) 355-9951

324 Tenth Ave
Ste 249
Salt Lake Cty, UT 84103
Phone (801) 321-3555

50 N Medical Dr
#U
Salt Lake Cty, UT 84132
Phone (801) 581-4314

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: astraubhar45595@direct.med.utah.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1700263902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 E LORRAINE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062510",
            "telephone_number": "208-794-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "address_2": "DEPARTMENT OF OBSTETRICS & GYNECOLOGY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUBHAR",
        "first_name": "ALLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "UT",
            "license": "10105439-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astraubhar45595@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "address_2": "Department of Obstetrics & Gynecology",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.