Individual provider Active NPI

Douglas Stewart Mehr, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • West Jordan, UT
National Provider Identifier
1720070899
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
59344921205 Issued in UT
Practice address
3855 W 7800 S Ste 100
West Jordan, UT 84088-5561
Phone
(801) 260-0034
Fax
(801) 260-0035
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 59344921205 UT
Retina Specialist (Ophthalmology) Physician 207WX0107X 59344921205 UT Primary

Addresses

Primary practice location

3855 W 7800 S Ste 100
West Jordan, UT 84088-5561

Mailing address

75 Enterprise Ste 200
Aliso Viejo, CA 92656-2626
Phone (949) 688-6205

Other practice location 1

3465 South 4155 West, Ste 4
West Valley, UT 84120
Phone (801) 260-0034

Other identifiers 1

IdentifierTypeStateIssuer
929445OtherUTPHCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000248 UT Practitioner - Ophthalmology 4587563804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye CareGroup PAC ID 3375520091, 4 clinicians
Salt Lake Retina LLCGroup PAC ID 0042430282, 4 clinicians

Practice addresses (Care Compare)

1250 E 3900
Suite 310
Salt Lake City, UT 84124-1350
Phone (801) 263-2020

3855 W 7800
Suite 100
West Jordan, UT 84088-5561
Phone (801) 260-0034

3855 W 7800 S
Suite 100
West Jordan, UT 84088-5561

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
89.25
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.92 of 100Reported as group
Quality
93.17
Improvement activities
40
Cost
72.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59344921205UTMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Care Inc Ophthalmology CurrentSince Jul 16, 2009 Accepting new patients
Granger Medical Specialists LLC Past Accepting new patients
Rocky Mountain Retina Consultants Ophthalmology PastSince Jan 1, 1999 Accepting new patients

Locations

1250 E 3900 S
Ste 310
Salt Lake Cty, UT 84124
Phone (801) 263-2020

Interoperability endpoints

  • Direct secure messaging: dmehr@saltlakeretina.intellechartdirect.net
  • Direct secure messaging: dmehr@aecut.intellechartdirect.net

Organizations & group practices 4

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1720070899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ENTERPRISE STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562626",
            "telephone_number": "949-688-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 W 7800 S STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885561",
            "telephone_number": "801-260-0034",
            "fax_number": "801-260-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3465 South 4155 West, Ste 4",
            "address_purpose": "LOCATION",
            "city": "West Valley",
            "state": "UT",
            "postal_code": "84120",
            "country_code": "US",
            "telephone_number": "801-260-0034",
            "fax_number": "801-260-0335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHR",
        "first_name": "DOUGLAS",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-05-03",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "59344921205",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "59344921205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "929445",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.