NPIMap

Individual provider Active NPI

Michael Dorrough, M.D.

  • Anesthesiology Physician
  • Provo, UT
National Provider Identifier
1962698746
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
6358989-1205 Issued in UT
Practice address
1034 N 500 W
Provo, UT 84604-3380
Phone
(801) 357-7850
Fax
(678) 285-6777
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 8046A WY
Anesthesiology Physician 207L00000X MD222581 OR
Anesthesiology Physician 207L00000X 6358989-1205 UT Primary

Addresses

Primary practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

PO Box 3570
Salt Lake City, UT 84110-3570
Phone (801) 432-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MT, OR, WA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160531001496 UT Practitioner - Anesthesiology 8527110402 Reassigns benefits to 2 organizations
I20240822002647 MT Practitioner - Anesthesiology 8527110402 Reassigns benefits to 2 organizations
I20241212004005 OR Practitioner - Anesthesiology 8527110402 Reassigns benefits to 1 organization
I20260625002886 WA Practitioner - Anesthesiology 8527110402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain West Anesthesia LLCGroup PAC ID 9032018502, 267 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians
Central Washington Health Services AssociationGroup PAC ID 4880504596, 708 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380
Phone (801) 357-7850

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Hospital & facility affiliations

  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
  • Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
89.3
Improvement activities
40
Cost
78.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD222581ORMDAnesthesiology Physician
8046AWYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Billings Clinic Family Medicine CurrentSince Mar 28, 2025 Accepting new patients
Granite Peak Anesthesiology Consultants Anesthesiology CurrentSince Jun 2, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Mar 28, 2025 Accepting new patients
Mountain West Anesthesia LLC Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 1, 2020 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2949 10TH Ave N
Billings, MT 59101

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

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

10150 S Centennial Pkwy
Ste 230
Sandy, UT 84070
Phone (425) 284-1545

150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Organizations & group practices 46

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.

View all 46

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1962698746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3570",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103570",
            "telephone_number": "801-432-2600",
            "fax_number": "678-285-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043380",
            "telephone_number": "801-357-7850",
            "fax_number": "678-285-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORROUGH",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "8046A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD222581",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "6358989-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.