Individual provider Active NPI

Matheson Adams Harris, M.D.

  • Ophthalmology Physician
  • Salt Lake City, UT
National Provider Identifier
1912110230
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7928404-1205 Issued in UT
Practice address
4400 S 700 E
Suite 130
Salt Lake City, UT 84107-3053
Phone
(801) 264-4420
Fax
(801) 266-0604
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 23582 WV
Ophthalmology Physician 207W00000X 7928404-1205 UT Primary

Addresses

Primary practice location

4400 S 700 E
Suite 130
Salt Lake City, UT 84107-3053

Mailing address

4400 S 700 E
Suite 130
Salt Lake City, UT 84107-3053
Phone (801) 264-4420

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MHARRIS40778@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
I20110922000339 UT Practitioner - Ophthalmology 0941356976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pennsylvania State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Oculoplastic Consultants PCGroup PAC ID 6103097134, 2 clinicians

Practice addresses (Care Compare)

4400 S 700
Suite 130
Salt Lake City, UT 84107-3396
Phone (801) 264-4420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.39 of 100Reported as group
Quality
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23582WVMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: mharris40778@direct.med.utah.edu

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1912110230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S 700 E",
            "address_2": "SUITE 130",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073053",
            "telephone_number": "801-264-4420",
            "fax_number": "801-266-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S 700 E",
            "address_2": "SUITE 130",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073053",
            "telephone_number": "801-264-4420",
            "fax_number": "801-266-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MATHESON",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "23582",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "7928404-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MHARRIS40778@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 Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.