Individual provider Active NPI

Mark Alen Rindflesh, MD

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Salt Lake City, UT
National Provider Identifier
1710944293
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
1573651205 Issued in UT
Practice address
501 Chipeta Way
Uuni
Salt Lake City, UT 84108
Phone
(801) 587-3210
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 6062A WY
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 1573651205 UT Primary

Addresses

Primary practice location

501 Chipeta Way
Uuni
Salt Lake City, UT 84108

Mailing address

PO Box 413076
Uuni
Salt Lake City, UT 84141-3076
Phone (801) 587-6688

Other identifiers 1

IdentifierTypeStateIssuer
11342000MedicaidWY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrindflesh49566@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 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
I20040901000181 UT Practitioner - Pediatric Medicine 1456326529 Reassigns benefits to 1 organization
I20170307001515 WY Practitioner - Pediatric Medicine 1456326529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Utah School of Medicine, 1973
Medicare assignment
May accept Medicare assignment
Group practices
Southwest Counseling ServiceGroup PAC ID 5890777437, 7 clinicians
University of Utah Behavioral Health ServicesGroup PAC ID 9537483607, 185 clinicians

Practice addresses (Care Compare)

1124 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-6677

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 581-2121

Merit-based Incentive Payment System (MIPS)

Final score
89.22 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
66.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1573651205UTMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Behavioral Health Services CurrentSince Oct 4, 2016 Accepting new patients
University of Utah Behavioral Health Services Current Accepting new patients
Southwest Counseling Service CurrentSince Jan 3, 2017 Accepting new patients
University of Utah Behavioral Health Services CurrentSince Oct 4, 2016 Accepting new patients
Southwest Counseling Service CurrentSince Jan 3, 2017 Accepting new patients

Locations

501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951

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

2300 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 352-6689

1124 College Dr
Rock Springs, WY 82901
Phone (307) 352-6680

Interoperability endpoints

  • Direct secure messaging: mrindflesh49566@direct.med.utah.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1710944293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413076",
            "address_2": "UUNI",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841413076",
            "telephone_number": "801-587-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHIPETA WAY",
            "address_2": "UUNI",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84108",
            "telephone_number": "801-587-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINDFLESH",
        "first_name": "MARK",
        "middle_name": "ALEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "WY",
            "license": "6062A",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "UT",
            "license": "1573651205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11342000",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrindflesh49566@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.