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DR. MAXWELL DONOVAN RAITHEL MD
NPI 1689231821
Emergency Medicine in Murray, UT

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment
5121 S COTTONWOOD ST, MURRAY, UT 84107(801) 442-5502 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2025, May 26, 2025, Nov 7, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Maxwell Donovan Raithel Md NPPES

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

DR. MAXWELL DONOVAN RAITHEL MD (NPI 1689231821) is an individual emergency medicine provider in Murray, Utah, licensed in Michigan (4301507888) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689231821
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MAXWELL DONOVAN RAITHELCredential: MD
Location Address5121 S COTTONWOOD STMurray, UT 84107-5701
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 442-5502
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 23, 2019
Last NPPES UpdateDecember 12, 20254 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1689231821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 4301507888
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5121 S COTTONWOOD ST, Murray, UT 84107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maxwell Donovan Raithel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658748710
PECOS Enrollment IDI20250618003850
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 Maxwell Raithel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Hospitalist
5121 S COTTONWOOD ST
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1235664251 (801) 442-0934

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANASTASIYA MANKOUSKI MD
Pediatrics (Neonatal-Perinatal Medicine)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-7000
TARYN A. YOUNG MD
Hospitalist
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-4384
NATHANIEL ALAN KELLER DPT
Physical Therapist
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (805) 798-2901
JENNIFER LAWLEY RN
Student in an Organized Health Care Education/Training Program
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
DR. JARED DAVID MILLER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-3500
JONATHAN MIDDLEMISS PA-C
Physician Assistant
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3460
RICHA PARAG SHETH MD
Internal Medicine
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
ANDREW SCOTT BIESINGER NP
Nurse Practitioner
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3462

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 Maxwell Raithel's NPI number?

The NPI number for Maxwell Raithel is 1689231821. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Maxwell Raithel located?

Maxwell Raithel practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 442-5502.

What is Maxwell Raithel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Maxwell Raithel enrolled in Medicare?

Yes. Maxwell Raithel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maxwell Raithel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maxwell Raithel reassigns Medicare benefits to Ihc Health Services Inc (Murray, 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 Maxwell Raithel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maxwell Raithel affiliated with any hospitals?

According to CMS data, Maxwell Raithel is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Maxwell Raithel was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.