Individual provider Active NPI

Melody Scheefer, MD

  • Plastic Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1720320179
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
9149575-1205 Issued in UT
Practice address
1725 E Murray Holladay Rd
Salt Lake City, UT 84117-5589
Phone
(385) 315-0145
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 9149575-1205 UT Primary
Surgery Physician 208600000X 9149575-1205 UT
Plastic and Reconstructive Surgery Physician 2086S0122X 9149575-1205 UT

Addresses

Primary practice location

1725 E Murray Holladay Rd
Salt Lake City, UT 84117-5589

Mailing address

1725 E Murray Holladay Rd
Salt Lake City, UT 84117-5589
Phone (385) 315-0145

Other names 1

  • Melody Scheefer Van Boerum Former name

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
I20141024001869 UT Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Plastic and Reconstructive Surgery 0244451789

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9149575-1205UTMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Bella Plastic Surgery PLLC Plastic Surgery Current Accepting new patients

Locations

370 Ninth Ave
Ste 200
Slc, UT 84103
Phone (801) 355-0731

Interoperability endpoints

  • Direct secure messaging: melody.scheefer@486851367337988.direct.elationemr.com

Organizations & group practices 1

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1720320179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E MURRAY HOLLADAY RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175589",
            "telephone_number": "385-315-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E MURRAY HOLLADAY RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175589",
            "telephone_number": "385-315-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEEFER",
        "first_name": "MELODY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "9149575-1205",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "9149575-1205",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "UT",
            "license": "9149575-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "VAN BOERUM",
            "middle_name": "SCHEEFER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.