Individual provider Active NPI

Justin D Gull, M.D.

  • Otolaryngology Physician
  • Murray, UT
National Provider Identifier
1962600338
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
351170-1205 Issued in UT
Practice address
5770 S 250 E
Ste 415
Murray, UT 84107-8194
Phone
(801) 268-2822
Fax
(801) 268-2832
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 351170-1205 UT Primary

Addresses

Primary practice location

5770 S 250 E
Ste 415
Murray, UT 84107-8194

Mailing address

4000 S 700 E Ste 10
Salt Lake City, UT 84107-2580
Phone (801) 268-4141

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
I20080731000680 UT Practitioner - Otolaryngology 1052485547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Utah School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Professional Association ServicesGroup PAC ID 8921053349, 18 clinicians

Practice addresses (Care Compare)

4000 S 700
Suite 10
Salt Lake City, UT 84107-2580
Phone (801) 268-4141

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
351170-1205UTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Professional Association Services Otolaryngology CurrentSince Aug 4, 2008 Accepting new patients
Jordan Family Health, LLC Past Accepting new patients

Locations

74 E Kimballs Ln
Ste 360
Draper, UT 84020
Phone (801) 260-3687

96 E Kimballs Ln
Ste 309
Draper, UT 84020
Phone (801) 260-3687

5770 S 250 E
Ste 415
Salt Lake City, UT 84107
Phone (801) 268-2822

5770 S 250 E
Ste 285
Salt Lake Cty, UT 84107
Phone (801) 268-2822

4000 S 7th E
Ste 10
Salt Lake Cty, UT 84107
Phone (801) 268-4141

8846 S Redwood Rd
Ste E121
West Jordan, UT 84088
Phone (801) 268-4141

Interoperability endpoints

  • Direct secure messaging: jgull@entslc.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1962600338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S 700 E STE 10",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072580",
            "telephone_number": "801-268-4141",
            "fax_number": "801-261-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "STE 415",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078194",
            "telephone_number": "801-268-2822",
            "fax_number": "801-268-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULL",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "351170-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.