Active NPI
Melinda M Midgley, MD
- Family Medicine Physician
- Draper, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4792541-1205
- Practice address
- 11724 S State St
Draper, UT 84020-7163 - Phone
- (801) 576-2092
- Fax
- (801) 576-2093
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4792541-1205 | UT | Primary |
Addresses
Primary practice location
11724 S State St
Draper, UT 84020-7163
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600
Other practice location 1
3605 S West Temple
Salt Lake City, UT 84115-4409
Phone (801) 506-0000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870293873MID | Other | UT | EMIA |
| 63122 | Other | UT | PEHP |
| QM0000046556 | Other | UT | ALTIUS |
| 107008945101 | Other | UT | SELECT HEALTH |
| 670074 | Other | UT | DESERET MUTUAL BENEFIT AS |
| D3560 | Medicaid | UT | |
| 87029387384062B002 | Other | UT | TRICARE |
| 47925411200001 | Other | UT | BLUE CROSS/BLUE SHIELD |
Other names 1
- Melinda McDonald
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
- Family Practice
- Education
- University of Utah School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granger Medical Specialists, LLC | Current | Accepting new patients | |
| Granger Medical Clinic PC | Family Medicine | Current | Accepting new patients |
| Granger Medical Specialists LLC | Current | Accepting new patients | |
| Granger Medical Clinic PC | Current | Accepting new patients | |
| Granger Medical Clinic PC | Current | Accepting new patients | |
| Westech Wellness Center | Past | Accepting new patients | |
| Granger Medical Clinic PC | Past | Accepting new patients | |
| Premise Health of Utah Medical PC | Past | Accepting new patients |
Locations
11724 S State St
Draper, UT 84020
Phone (801) 576-2000
12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700
995 W Levoy Dr
Taylorsville, UT 84123
2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- West Valley City, UT
- NPI 1184657041
Family Medicine
-
- Clinic/Center
- West Valley City, UT
- NPI 1376159368
-
- Specialist
- Salt Lake City, UT
- NPI 1356425672
-
- Medical Specialty Clinic/Center
- Sandy, UT
- NPI 1871320028
-
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1497441539
-
dba Granger Medical West Jordan
- Multi-Specialty Clinic/Center
- West Jordan, UT
- NPI 1104857549
-
dba NEBO - Spanish Fork
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1184397002
-
- Primary Care Clinic/Center
- Salt Lake City, UT
- NPI 1184093924
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lone Peak Hospital
- General Acute Care Hospital
- Draper, UT
- NPI 1770821571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1760587653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 W 3500 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193602",
"telephone_number": "801-965-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11724 S STATE ST",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207163",
"telephone_number": "801-576-2092",
"fax_number": "801-576-2093"
}
],
"practiceLocations": [
{
"address_1": "3605 S West Temple",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841154409",
"country_code": "US",
"telephone_number": "801-506-0000",
"fax_number": "801-506-0010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDGLEY",
"first_name": "MELINDA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "4792541-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMIA",
"identifier": "870293873MID",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "63122",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000046556",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "107008945101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL BENEFIT AS",
"identifier": "670074",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D3560",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "87029387384062B002",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "47925411200001",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "MCDONALD",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.