Active NPI
Jeffery Hillam, MD
- Emergency Medicine Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 12701251-1205
- Practice address
- 333 N 300 W
Salt Lake City, UT 84103-1215 - Phone
- (801) 463-7415
- NPI assigned
- Mar 21, 2019
- Last updated
- Aug 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT219035 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 12701251-1205 | UT | Primary |
| Emergency Medicine Physician | 207P00000X | HS000102L | PA |
Addresses
Primary practice location
333 N 300 W
Salt Lake City, UT 84103-1215
Mailing address
333 N 300 W
Salt Lake City, UT 84103-1215
Phone (801) 463-7415
Other practice location 1
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-7910
Other practice location 2
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-7910
Other practice location 3
205 S Front St
Harrisburg, PA 17104
Phone (717) 231-8775
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Miami, LM Miller School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3451 W 5600
Roy, UT 84067-9112
Phone (801) 896-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HS000102L | PA | MD | Emergency Medicine Physician |
| 12701251-1205 | UT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600
333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
2675 W Taylorsville Blvd
Taylorsville, UT 84129
Phone (801) 982-0050
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Davis
- General Acute Care Hospital
- Layton, UT
- NPI 1346945839
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
dba Ogden Regional Medical Center
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
dba Lakeview Hospital
- General Acute Care Hospital
- Bountiful, UT
- NPI 1528010451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1750841110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N 300 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841031215",
"telephone_number": "801-463-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N 300 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841031215",
"telephone_number": "801-463-7415"
}
],
"practiceLocations": [
{
"address_1": "1300 Miccosukee Rd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323085054",
"country_code": "US",
"telephone_number": "850-431-7910",
"fax_number": "850-431-8251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Miccosukee Rd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323085054",
"country_code": "US",
"telephone_number": "850-431-7910",
"fax_number": "850-431-8251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 S Front St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "17104",
"country_code": "US",
"telephone_number": "717-231-8775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILLAM",
"first_name": "JEFFERY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT219035",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "12701251-1205",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "HS000102L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.