NPIMap

Individual provider Active NPI

Scott E Southworth, MD

  • Internal Medicine Physician
  • Bountiful, UT
National Provider Identifier
1972602910
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
173151-1205 Issued in UT
Practice address
520 Medical Dr Ste 300
Bountiful, UT 84010-8925
Phone
(801) 292-1422
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 173151-1205 UT
Internal Medicine Physician 207R00000X 173151-1205 UT Primary

Addresses

Primary practice location

520 Medical Dr Ste 300
Bountiful, UT 84010-8925

Mailing address

140 N Union Ave Ste F-300
Farmington, UT 84025-2953
Phone (801) 294-9333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050722000717 UT Practitioner - Internal Medicine 5597792358 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Utah School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshua Oaks MD PLLCGroup PAC ID 0840776688, 31 clinicians
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, 119 clinicians

Practice addresses (Care Compare)

520 Medical Dr
Suite 300
Bountiful, UT 84010-8925
Phone (801) 292-1422

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 783-5011

Hospital & facility affiliations

  • Utah Home Health - North Home health agency, Bountiful, UT, CCN 467355
  • Symbii Davis Home Health Home health agency, Bountiful, UT, CCN 467081
  • Atlas Home Care Home health agency, Layton, UT, CCN 467232
  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
  • South Davis Specialty Care Nursing home, Bountiful, UT, CCN 465187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173151-1205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Oct 1, 2014 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Oct 1, 2014 Accepting new patients
Joshua Oaks MD PLLC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Bountiful Internal Medicine & Pulmonology Associates LLC PastSince Apr 29, 2008 Accepting new patients
Twin Peaks Medical P.C. Past Accepting new patients

Locations

520 Medical Dr
Ste 300
Bountiful, UT 84010
Phone (801) 292-1422

11925 S State St
Draper, UT 84020
Phone (801) 545-8000

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Interoperability endpoints

  • Direct secure messaging: scott.southworth@hca3.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16218/brand/1/csg/1/fhir/r4
  • Direct secure messaging: scott.southworth.1@16218.direct.athenahealth.com

Organizations & group practices 8

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 5

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1972602910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N UNION AVE STE F-300",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252953",
            "telephone_number": "801-294-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR STE 300",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108925",
            "telephone_number": "801-292-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWORTH",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "173151-1205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "173151-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.