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: July 26, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132

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.

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 with the weekly NPPES data releases published by CMS.