MR. LOUIS MIZELL JR. M.D.
NPI 1851396964
Specialist in Murray, UT

Active since June 15, 2005PECOS Enrolled
164 E 5900 S STE A112, MURRAY, UT 84107(385) 478-8975(801) 269-9894 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Mar 21, 2019 (2 updates tracked since 2019).

About Mr. Louis Mizell Jr. M.d. NPPES

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

MR. LOUIS MIZELL JR. M.D. (NPI 1851396964) is an individual specialist in Murray, Utah, licensed in Utah (82-168364-1205) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1979).

NPPES Registry Identity

NPI1851396964
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. LOUIS MIZELL JR.Credential: M.D.
Location Address164 E 5900 S STE A112Murray, UT 84107-7274
Mailing Address164 E 5900 S Ste A112Murray, UT 84107-7274 · (385) 478-8975 · Fax (801) 269-9894
Fax(801) 269-9894
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1979
Enumeration DateJune 15, 2005
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1851396964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in UT · 82-168364-1205
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License 168364-1205 (UT), 23893 (ND)
164 E 5900 S STE A112, Murray, UT 84107

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)

Mr. Louis Mizell Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375889728
PECOS Enrollment IDI20251013000060
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

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

Pediatrics (Pediatric Gastroenterology)
164 E 5900 S STE A112
MURRAY, UT 84107

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 Louis Mizell Jr.'s NPI number?

The NPI number for Louis Mizell Jr. is 1851396964. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Louis Mizell Jr. located?

Louis Mizell Jr. practices at 164 E 5900 S Ste A112, Murray, UT 84107. The listed phone number is (385) 478-8975.

What is Louis Mizell Jr.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Louis Mizell Jr. enrolled in Medicare?

Yes. Louis Mizell Jr. is registered in the Medicare PECOS enrollment system.

What insurance does Louis Mizell Jr. accept?

Health plans from BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Providence Health Plan and 3 other insurers list Louis Mizell Jr. 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 Louis Mizell Jr. was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.