Individual provider Active NPI

Anthony John Schaeffer, M.D.

  • Pediatric Urology Physician
  • Salt Lake City, UT
National Provider Identifier
1700939402
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
9393275-1205 Issued in UT
Practice address
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone
(801) 662-1000
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X UNLISC MED PRACT MD
Urology Physician 208800000X UNLISC MED PRACTIT MD
Urology Physician 208800000X 9393275-1205 UT
Urology Physician 208800000X 036173396 IL
Pediatric Urology Physician 2088P0231X 036173396 IL
Pediatric Urology Physician 2088P0231X 9393275-1205 UT Primary

Addresses

Primary practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aschaeffer167760@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, IL, TN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150608001487 UT Practitioner - Urology 4284955840 Reassigns benefits to 3 organizations
I20180122003311 ID Practitioner - Pediatric Medicine 4284955840 Reassigns benefits to 1 organization
I20250304002996 IL Practitioner - Pediatric MedicinePractitioner - Urology 4284955840 Reassigns benefits to 1 organization
I20250814003518 TN Practitioner - UrologyPractitioner - Pediatric Medicine 4284955840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Pediatric Medicine
Education
University of Chicago, Pritzker School of Medicine, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

850 Poplar Ave
BLDG 2
Memphis, TN 38105-4607

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UNLISC MED PRACTMDMDSurgery Physician
036173396ILMDUrology Physician
UNLISC MED PRACTITMDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Adult Services CurrentSince May 21, 2015 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 21, 2025 Accepting new patients
University of Utah Pediatric Services CurrentSince Oct 29, 2017 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince Dec 20, 2017 Accepting new patients
University of Utah Pediatric Services CurrentSince Oct 29, 2017 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 24, 2016 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 24, 2016 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Adult Services CurrentSince May 21, 2015 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. CurrentSince Jul 1, 2025 Accepting new patients

Locations

2330 Desoto St
Idaho Falls, ID 83404
Phone (208) 523-1100

2985 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 522-4600

420 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 655-2343

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594

81 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 662-5700

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

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

127 S 500 E
Ste 600
Slc, UT 84102

544 S 400 E
#M
St George, UT 84770

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Organizations & group practices 14

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 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1700939402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MARIO CAPECCHI DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "801-662-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "UNLISC MED PRACT",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "UNLISC MED PRACTIT",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "UT",
            "license": "9393275-1205",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036173396",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "IL",
            "license": "036173396",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "UT",
            "license": "9393275-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aschaeffer167760@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",
            "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.