NPIMap

Individual provider Active NPI

Richard L Glines, M.D.

  • Interventional Pain Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1790794063
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
7596444-1205 Issued in UT
Practice address
1250 E 3900 S
#30
Salt Lake City, UT 84124
Phone
(801) 268-7725
NPI assigned
Aug 5, 2006
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7596444-1205 UT
Interventional Pain Medicine Physician 208VP0014X 7596444-1205 UT Primary

Addresses

Primary practice location

1250 E 3900 S
#30
Salt Lake City, UT 84124

Mailing address

PO Box 271220
Salt Lake City, UT 84127-1220
Phone (801) 534-1360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022001232 UT Practitioner - AnesthesiologyPractitioner - Hospice/Palliative CarePractitioner - Pain Management 1759385743 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Hospice/Palliative Care, Pain Management
Education
University of Iowa, RJ & L Carver College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marks Physician Billing LLCGroup PAC ID 6103061072, 8 clinicians
Millcreek Anesthesia PCGroup PAC ID 0840194643, 45 clinicians
North Davis Anesthesiology LLCGroup PAC ID 5395793905, 12 clinicians

Practice addresses (Care Compare)

1160 E 3900
Suite G200
Salt Lake City, UT 84124-1224
Phone (801) 268-7766

1200 E 3900
St Marks Hospital
Salt Lake City, UT 84124-1300
Phone (801) 268-7111

1600 W Antelope Dr
Layton, UT 84041-1142
Phone (801) 807-7140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
11.21 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
37.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Anesthesia PC Anesthesiology CurrentSince Sep 15, 2025 Accepting new patients
North Davis Anesthesiology LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
St. Mark's Physician Billing, LLC CurrentSince Feb 1, 2013 Accepting new patients
Layton Ambulatory Anesthesia, Inc Anesthesiology Past Accepting new patients
Mountainstar Specialty Services LLC Past Accepting new patients
Utah Cancer Specialists PC Past Accepting new patients
Sevocation Anesthesia, PLLC Anesthesiology Past Accepting new patients

Locations

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

1220 E 3900 S
Ste 3B
Salt Lake Cty, UT 84124
Phone (801) 262-3353

1160 E 3900 S
Ste G200
Slc, UT 84124
Phone (801) 268-7766

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

1250 E 3900 S
Ste 30
Slc, UT 84124
Phone (801) 266-0878

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1790794063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271220",
            "telephone_number": "801-534-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "#30",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-268-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLINES",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "7596444-1205",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "7596444-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.