Active NPI
John Ackerly, M.D.
- Anesthesiology Physician
- Salt Lake City, UT
National Provider Identifier
1841298346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5121301-1205
- Practice address
- 3838 S 700 E
Salt Lake City, UT 84106-1496 - Phone
- (801) 261-4988
- NPI assigned
- Jul 8, 2005
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5121301-1205 | UT | Primary |
Addresses
Primary practice location
3838 S 700 E
Salt Lake City, UT 84106-1496
Mailing address
PO Box 27688
Salt Lake City, UT 84127-0688
Phone (801) 534-1360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D5306 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5121301-1205 | UT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega Interventional Pain PLLC | Past | Accepting new patients | |
| Lifetree Medical Inc | Anesthesiology | Past | Accepting new patients |
| North Fulton Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pain Medicine Physician
- Salt Lake City, UT
- NPI 1417253907
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1467445262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841298346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27688",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270688",
"telephone_number": "801-534-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 S 700 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061496",
"telephone_number": "801-261-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERLY",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "5121301-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D5306",
"state": "UT"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.