Active NPI
Matthew Holbrook, MD
- Diagnostic Radiology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 14212996-1205
- Practice address
- 389 S 900 E
Salt Lake City, UT 84102-2310 - Phone
- (385) 282-2205
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 14212996-1205 | UT | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036168612 | IL |
Addresses
Primary practice location
389 S 900 E
Salt Lake City, UT 84102-2310
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
Msc Radiology 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-0932
Other practice location 2
676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone (312) 926-4068
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC/ Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618003743 | IL | Practitioner - Diagnostic Radiology | 1355760026 | Reassigns benefits to 1 organization |
| I20250617003448 | UT | Practitioner - Diagnostic Radiology | 1355760026 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Ohio State University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
389 S 900
Salt Lake City, UT 84102-2310
Phone (385) 282-2205
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036168612 | IL | MD | Diagnostic Radiology Physician |
| 14212996-1205 | UT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Colorado Springs Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Colorado Springs Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Utah Medical Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Utah Medical Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
Locations
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
389 S 900 E
Slc, UT 84102
Phone (385) 282-2000
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Organizations & group practices 28
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.
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- Diagnostic Radiology Physician
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- NPI 1841687951
Diagnostic Radiology, IL
-
- Lactation Consultant (Registered Nurse)
- Murray, UT
- NPI 1851163513
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Radiology Clinic/Center
- Bountiful, UT
- NPI 1447907746
Diagnostic Radiology
-
- Radiology Clinic/Center
- Draper, UT
- NPI 1538818588
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1962962878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"fax_number": "505-272-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022310",
"telephone_number": "385-282-2205"
}
],
"practiceLocations": [
{
"address_1": "Msc Radiology 1 University Of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-0932",
"fax_number": "505-272-5821",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "676 N Saint Clair St Ste 800",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112978",
"country_code": "US",
"telephone_number": "312-926-4068",
"fax_number": "312-695-5645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLBROOK",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "14212996-1205",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036168612",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": ": 2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.