Ivan D Flint, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

3200011205 Issued in UT

Practice address

1250 E 3900 S Ste 450
SLC, UT 84124-1349

Phone

(801) 262-3600

Fax

(801) 262-2555

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Utah School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivan D Flint MD PCGroup PAC ID 9830128222, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.44 of 100Reported as individual

Quality

68.79

Promoting interoperability

100

Improvement activities

40

Cost

66.01

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ivan D Flint MD PC

  • Clinic/Center
  • SLC, UT
  • NPI 1821271529
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1962484485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 450",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841241349",
            "telephone_number": "801-262-3600",
            "fax_number": "801-262-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 450",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841241349",
            "telephone_number": "801-262-3600",
            "fax_number": "801-262-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "IVAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "3200011205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Mari Orvokki Felin, R.D., M.S.
• Bernardo Fernandez
• Heather Rose Filipowicz, MS RD CD
• Tara Lee Finnerty, RD, CD
• Peter C. Fisher, M.D.
• Monique Flores
• Kalita Kasteler Ford, R.N., B.S.N., L.C.C
• Casi Foroughi, R.B.T.
• Julie Ann Fox, MD
• Lori M Fox, SLP

• Dermatology Physician in SLC, UT
• Providers in SLC, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.