Individual provider Active NPI

Emily M Powell, MD

  • MOHS-Micrographic Surgery Physician
  • Ogden, UT
National Provider Identifier
1861846149
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
12701270-1205 Issued in UT
Practice address
5734 S 1475 E Ste 300
Ogden, UT 84403-4698
Phone
(801) 475-5210
Fax
(801) 475-5209
NPI assigned
Apr 22, 2016
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LA
Dermatology Physician 207N00000X 310263 LA
MOHS-Micrographic Surgery Physician 207ND0101X 310263 LA
MOHS-Micrographic Surgery Physician 207ND0101X 12701270-1205 UT Primary

Addresses

Primary practice location

5734 S 1475 E Ste 300
Ogden, UT 84403-4698

Mailing address

5734 S 1475 E Ste 300
Ogden, UT 84403-4698
Phone (801) 475-5210

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
I20220505002319 UT Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9436445459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Oklahoma College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wasatch Dermatology PCGroup PAC ID 9638488240, 3 clinicians

Practice addresses (Care Compare)

5734 S 1475
Suite 300
South Ogden, UT 84403-4698
Phone (801) 475-5210

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision163
Removal of tissue1-10
Removal of skin lesions263
Removal of skin cancer281
Removal or shaving of skin growth1-10
Skin biopsy133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310263LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Orme, MD PC Dermatology PastSince May 10, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: epowellmd@wasatchdermatology.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1861846149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 S 1475 E STE 300",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034698",
            "telephone_number": "801-475-5210",
            "fax_number": "801-475-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 S 1475 E STE 300",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034698",
            "telephone_number": "801-475-5210",
            "fax_number": "801-475-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "EMILY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "310263",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "LA",
            "license": "310263",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "UT",
            "license": "12701270-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.