Individual provider Active NPI

Zachary Fox, MD

  • Pediatric Cardiology Physician
  • Salt Lake City, UT
National Provider Identifier
1740819010
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
14206717-1205 Issued in UT
Practice address
81 S Mario Capecchi Dr RM 4E217
Salt Lake City, UT 84112-5888
Phone
(801) 581-2121
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 14206717-1205 UT Primary
Pediatrics Physician 208000000X M-17294 ID

Addresses

Primary practice location

81 S Mario Capecchi Dr RM 4E217
Salt Lake City, UT 84112-5888

Mailing address

81 S Mario Capecchi Dr RM 4E217
Salt Lake City, UT 84112-5888
Phone (801) 581-2121

Other practice location 1

1202 E Locust St
Emmett, ID 83617-2715
Phone (202) 476-3670

Other practice location 2

8610 W Overland Rd
Boise, ID 83709-1645
Phone (208) 954-8711

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
I20250501003047 UT Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3476907908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-17294IDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Knox Memorial Hospital Current Accepting new patients

Locations

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

1102 E Locust St
Emmett, ID 83617
Phone (208) 365-6004

Interoperability endpoints

  • Direct secure messaging: zfox@valorhealth.cernerdirect.com
  • Direct secure messaging: zfox753174@direct.med.utah.edu
  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1740819010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 S MARIO CAPECCHI DR RM 4E217",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125888",
            "telephone_number": "801-581-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 S MARIO CAPECCHI DR RM 4E217",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125888",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 E Locust St",
            "address_purpose": "LOCATION",
            "city": "Emmett",
            "state": "ID",
            "postal_code": "836172715",
            "country_code": "US",
            "telephone_number": "202-476-3670",
            "fax_number": "208-365-6004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8610 W Overland Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837091645",
            "country_code": "US",
            "telephone_number": "208-954-8711",
            "fax_number": "200-837-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "UT",
            "license": "14206717-1205",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M-17294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.