1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Pediatrics
  6. NPI Profile

MARK A. NOLAN MD
NPI 1265926570
Pediatrics - Neonatal-Perinatal Medicine in Salt Lake City, UT

Active since June 20, 2018PECOS Enrolled
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 662-4180 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2021, Jun 20, 2018 (2 updates tracked since 2018).

About Mark A. Nolan Md NPPES

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

MARK A. NOLAN MD (NPI 1265926570) is an individual neonatal-perinatal medicine provider in Salt Lake City, Utah, licensed in Utah (12236682-1205) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1265926570
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMARK A. NOLANCredential: MD
Location Address295 S CHIPETA WAYSalt Lake City, UT 84108-1287
Mailing Address295 S Chipeta WaySalt Lake City, UT 84108-1287 · (801) 662-4180
Phone(801) 662-4180
Sole ProprietorNo
Enumeration DateJune 20, 2018
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1265926570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in UT · 12236682-1205
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.
Also ListedPediatricsTaxonomy 208000000X · License 4301115417 (MI)
295 S CHIPETA WAY, Salt Lake City, UT 84108
Open in Google Maps ↗

Other Names 1

Former Name (1)Mark Novis

Secondary Practice Location 1

Location 1330 Barclay Ave NE Ste 300Grand Rapids, MI 49503-2527 · Phone (616) 391-8810 · Fax (616) 391-8897

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A. Nolan Md 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 Reassignment

Medicare enrollment records show Mark Nolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services
0.7 mi
Oncology
2000 CIRCLE OF HOPE DR
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1336263888 (801) 442-1400

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.

KELLY STOUT PHD
Psychologist
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 213-3469
MALIA MONICA OLSON
Genetic Counselor, MS
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
ALEX NICOLE HESS NNP-BC
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 558-8276
KATHRYN L. SONGER MD
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572
LAUREN MOLLY STERNBERG MD
Student in an Organized Health Care Education/Training Program
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 662-5700
RACHEL WILLIS
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
DR. ERIN L. GOSEKAMP DO, MPH, MS
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572
GEORGE KHOURY
Student in an Organized Health Care Education/Training Program
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400

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 Mark Nolan's NPI number?

The NPI number for Mark Nolan is 1265926570. It was assigned to this individual provider in the NPPES registry on June 20, 2018. The provider is also known as Mark Novis.

Where is Mark Nolan located?

Mark Nolan practices at 295 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 662-4180.

What is Mark Nolan's specialty?

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

Is Mark Nolan enrolled in Medicare?

Yes. Mark Nolan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Nolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Nolan reassigns Medicare benefits to Ihc Health Services (Salt Lake City, UT). The 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 Mark Nolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Nolan was last updated on May 27, 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.