Individual provider Active NPI

Joshua Q Knowlton, M.D., MPH

  • Pediatric Radiology Physician
  • Orem, UT
National Provider Identifier
1811940166
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
10283260-1205 Issued in UT
Practice address
560 W 800 N
Orem, UT 84057-3746
Phone
(801) 225-6246
NPI assigned
May 18, 2006
Last updated
Oct 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 04-34495 KS
Pediatric Radiology Physician 2085P0229X 2010015028 MO
Pediatric Radiology Physician 2085P0229X 10283260-1205 UT Primary
Diagnostic Radiology Physician 2085R0202X 10283260-1205 UT

Addresses

Primary practice location

560 W 800 N
Orem, UT 84057-3746

Mailing address

PO Box 657
Orem, UT 84059-0657
Phone (816) 824-9825

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jknowlton644747@direct.med.utah.edu Direct University of Utah

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
I20170606001595 UT Practitioner - Diagnostic Radiology 1951678382 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone (801) 408-1146

331 N 400
Orem Hospital PG
Orem, UT 84057-1950
Phone (801) 224-4080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-34495KSMDPediatric Radiology Physician
2010015028MOMDPediatric Radiology Physician
10283260-1205UTMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Tellica Imaging, LLC CurrentSince May 15, 2023 Accepting new patients
Tellica Imaging, LLC CurrentSince May 15, 2023 Accepting new patients
University of Utah Pediatric Services CurrentSince Jul 7, 2023 Accepting new patients
University of Utah Pediatric Services CurrentSince Jul 7, 2023 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
Tellica Imaging, LLC CurrentSince Sep 5, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 12, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 9, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Tellica Imaging, LLC CurrentSince May 15, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Jun 1, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 9, 2023 Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Sep 5, 2024 Accepting new patients
St. George Radiology Inc. Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Riverwoods Urgent Care Center LC PastSince Oct 6, 2003 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

331 N 400 W
Orem, UT 84057
Phone (801) 224-4080

560 W 800 N
Orem, UT 84057
Phone (801) 701-6504

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100

36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1308 E 900 S
Ste C
St George, UT 84790
Phone (435) 673-2301

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1811940166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840590657",
            "telephone_number": "816-824-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573746",
            "telephone_number": "801-225-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "JOSHUA",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KS",
            "license": "04-34495",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MO",
            "license": "2010015028",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "UT",
            "license": "10283260-1205",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "10283260-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jknowlton644747@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.