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DR. MATTHEW DOUGLASS DO
NPI 1013322494
Pediatrics - Neonatal-Perinatal Medicine in Salt Lake City, UT

Active since June 24, 2014PECOS Enrolled
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(402) 559-6329 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2021, Mar 13, 2020, Apr 26, 2017 (3 updates tracked since 2017).

About Dr. Matthew Douglass Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW DOUGLASS DO (NPI 1013322494) is an individual neonatal-perinatal medicine provider in Salt Lake City, Utah, licensed in Utah (10341688-1204) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013322494
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MATTHEW DOUGLASSCredential: DO
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-5524
Mailing Address295 S Chipeta WaySalt Lake City, UT 84108-1287
Phone(402) 559-6329
Sole ProprietorYes
Enumeration DateJune 24, 2014
Last NPPES UpdateOctober 20, 20213 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1013322494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in UT · 10341688-1204
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
50 N MEDICAL DR, Salt Lake City, UT 84132
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15121 S Cottonwood StMurray, UT 84107-5701 · Phone (801) 507-7000
Location 2100 N Mario Capecchi DrSalt Lake City, UT 84113-1103 · Phone (801) 662-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Douglass Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Douglass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Multi-Specialty
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1083624738 (801) 662-1000
University Of Utah Pediatric Acuity Care
0.1 mi
Pediatric Emergency Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1538523675 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Douglass's NPI number?

The NPI number for Matthew Douglass is 1013322494. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Matthew Douglass located?

Matthew Douglass practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (402) 559-6329.

What is Matthew Douglass's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Matthew Douglass enrolled in Medicare?

Yes. Matthew Douglass is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Douglass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Douglass reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Salt Lake City, UT) and University Of Utah Pediatric Acuity Care (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Douglass accept?

Health plans from Molina Healthcare and Select Health list Matthew Douglass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Douglass was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.