NPIMap

Individual provider Active NPI

Scott James Samuelson, M.D.

  • Medical Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1922288588
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
5918534-1205 Issued in UT
Practice address
389 S 900 E
Ste 100
Salt Lake City, UT 84102-2310
Phone
(385) 282-2125
Fax
(385) 282-2126
NPI assigned
Nov 11, 2007
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 5918534-1205 UT
Medical Oncology Physician 207RX0202X 5918534-1205 UT Primary

Addresses

Primary practice location

389 S 900 E
Ste 100
Salt Lake City, UT 84102-2310

Mailing address

1121 E 3900 S
Ste C-240
Salt Lake City, UT 84124-1214
Phone (801) 266-0878

Other identifiers 1

IdentifierTypeStateIssuer
107065766102OtherUTSELECT HEALTH

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
I20080501000501 UT Practitioner - Medical OncologyPractitioner - HematologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 3971682964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Cancer Specialists PCGroup PAC ID 1355254749, 48 clinicians

Practice addresses (Care Compare)

520 Medical Dr
Suite 340
Bountiful, UT 84010-8924
Phone (801) 296-6665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
77.34
Promoting interoperability
90
Improvement activities
40
Cost
77.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Apr 1, 2016 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 13, 2009 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 13, 2009 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2016 Accepting new patients
Utah Cancer Specialists PC Hematology & Oncology CurrentSince Jun 1, 2009 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Hospital Corporation of Utah Past Accepting new patients
Utah Cancer Specialists PC Hematology & Oncology PastSince Nov 30, 2025 Accepting new patients

Locations

48 N 1100 E
Ste B
American Fork, UT 84003
Phone (801) 492-9934

520 Medical Dr
Ste 100
Bountiful, UT 84010
Phone (801) 296-6665

520 Medical Dr
Ste 340
Bountiful, UT 84010
Phone (801) 296-6665

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

1492 W Antelope Dr
Ste 125
Layton, UT 84041
Phone (801) 525-3022

5131 S Cottonwood St
Ste L2
Murray, UT 84107
Phone (801) 263-3416

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

1121 E 3900 S
Ste C230
Salt Lake City, UT 84124

389 S 900 E
Ste 100
Salt Lake City, UT 84102
Phone (385) 282-2125

1121 E 3900 S
Ste C240
Salt Lake Cty, UT 84124

3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

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

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

1244 N Main St
Ste 101
Tooele, UT 84074
Phone (435) 249-0007

3592 W 9000 S
Ste 200
West Jordan, UT 84088
Phone (801) 562-8732

Interoperability endpoints

  • Direct secure messaging: ssamuelson@utahcancer.direct.varian.com

Organizations & group practices 9

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 5

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": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1922288588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "STE C-240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241214",
            "telephone_number": "801-266-0878",
            "fax_number": "801-266-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 S 900 E",
            "address_2": "STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022310",
            "telephone_number": "385-282-2125",
            "fax_number": "385-282-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "SCOTT",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-11",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "UT",
            "license": "5918534-1205",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "UT",
            "license": "5918534-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "107065766102",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.