Individual provider Active NPI

Matthew Holbrook, MD

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
National Provider Identifier
1962962878
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14212996-1205 Issued in UT
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

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 1850209420, 3,948 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
036168612ILMDDiagnostic Radiology Physician
14212996-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 27, 2025 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 27, 2025 Accepting new patients
Utah Medical Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Utah Medical Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jul 16, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Apr 11, 2025 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.

View all 28

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

Verify at the official NPI Registry.