Individual provider Active NPI

Scott B Hacking, M.D.

  • Interventional Cardiology Physician
  • Salt Lake City, UT
National Provider Identifier
1992712285
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
5426466-1205 Issued in UT
Practice address
1160 E 3900 S
Suite 2000
Salt Lake City, UT 84124-1202
Phone
(801) 266-3418
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 238083 NY
Interventional Cardiology Physician 207RI0011X 5426466-1205 UT Primary

Addresses

Primary practice location

1160 E 3900 S
Suite 2000
Salt Lake City, UT 84124-1202

Mailing address

PO Box 741729
Atlanta, GA 30374-1729

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shacking3007@epicmtn.hcadirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000705 UT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880608439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Vermont College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountainstar Cardiology St Marks LLCGroup PAC ID 2961661855, 42 clinicians

Practice addresses (Care Compare)

1160 E 3900
Suite 2000
Salt Lake City, UT 84124-1236
Phone (801) 266-3418

1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 268-7111

2965 W 3500
FL 3
West Valley City, UT 84119-3602
Phone (801) 226-3418

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone (801) 387-2800

Hospital & facility affiliations

  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005

Merit-based Incentive Payment System (MIPS)

Final score
90.4 of 100Reported as individual
Quality
82.56
Promoting interoperability
100
Improvement activities
40
Cost
85.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting51
Pacemaker insertion or repair32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainstar Cardiology St Marks LLC Interventional Cardiology CurrentSince Jan 17, 2018 Accepting new patients

Locations

74 E Kimballs Ln
Ste 330
Draper, UT 84020
Phone (801) 266-3418

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

1160 E 3900 S
Ste 2000
Slc, UT 84124
Phone (801) 266-3418

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

3584 W 9000 S
Ste 209
West Jordan, UT 84088
Phone (801) 676-3776

Organizations & group practices 2

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 7

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1992712285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "SUITE 2000",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241202",
            "telephone_number": "801-266-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKING",
        "first_name": "SCOTT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-01-13",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238083",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "5426466-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shacking3007@epicmtn.hcadirect.net",
            "affiliation": "N",
            "address_1": "1160 E 3900 S",
            "address_2": "SUITE 2000",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841241202",
            "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.