Active NPI
Charlie W. Fox, MD
- Gastroenterology Physician
- Salt Lake City, UT
National Provider Identifier
1992201909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 12220341-1205
- Practice address
- 6360 S 3000 E Ste 310
Salt Lake City, UT 84121-6939 - Phone
- (801) 944-3144
- NPI assigned
- Mar 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 12220341-1205 | UT | Primary |
Addresses
Primary practice location
6360 S 3000 E Ste 310
Salt Lake City, UT 84121-6939
Mailing address
1187 E 3900 S
Salt Lake City, UT 84124-1201
Phone (801) 944-3144
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240611004265 | UT | Practitioner - Gastroenterology | 1658627732 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Pennsylvania State University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Utah Gastroenterology LLC
Practice addresses (Care Compare)
6360 S 3000
Suite 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3188
Hospital & facility affiliations
- Intermountain Medical Center
- Intermountain Health Riverton Hospital
- Lakeview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.45 of 100
- Quality
- 47.08
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.26
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 47 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12220341-1205 | UT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Gastroenterology LLC | Gastroenterology | Current | Accepting new patients |
| Utah Gastroenterology LLC | Gastroenterology | Current | Accepting new patients |
| Utah Gastroenterology | Gastroenterology | Current | Accepting new patients |
| Utah Gastroenterology LLC | Gastroenterology | Current | Accepting new patients |
| Utah Gastroenterology LLC | Gastroenterology | Past | Accepting new patients |
Locations
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
38 W 13775 S
Ste 100
Draper, UT 84020
Phone (801) 727-4280
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1871689562
Gastroenterology, UT
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1972510717
Gastroenterology
Hospital & facility affiliations 3
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": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1992201909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 E 3900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241201",
"telephone_number": "801-944-3144",
"fax_number": "801-944-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 S 3000 E STE 310",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216939",
"telephone_number": "801-944-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "CHARLIE",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-30",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "UT",
"license": "12220341-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 1, 2024; 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.