THEODORE A. HARTRIDGE DO
NPI 1932669686
Emergency Medicine in Salt Lake City, UT
About Theodore A. Hartridge Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE A. HARTRIDGE DO (NPI 1932669686) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (11907384-1204) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Theodore A. Hartridge Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Theodore Hartridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah and Wyoming enrollments
- Also billed through NPI 1174033989 (Wyoming)
- 2,620 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theodore Hartridge's NPI number?
The NPI number for Theodore Hartridge is 1932669686. It was assigned to this individual provider in the NPPES registry on March 20, 2019.
Where is Theodore Hartridge located?
Theodore Hartridge practices at 30 N 1900 E Rm 1c026, Salt Lake City, UT 84132. The listed phone number is (801) 581-2272.
What is Theodore Hartridge's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Theodore Hartridge enrolled in Medicare?
Yes. Theodore Hartridge 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 Theodore Hartridge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Hartridge reassigns Medicare benefits to University Of Utah Adult 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 Theodore Hartridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Hartridge accept?
Health plans from Blue Cross Blue Shield of Wyoming list Theodore Hartridge 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.
Is Theodore Hartridge affiliated with any hospitals?
According to CMS data, Theodore Hartridge is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Theodore Hartridge was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Theodore A. Hartridge, DO · NPI 1932669686
Emergency Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1932669686 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 11907384-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 N 1900 E RM 1C026, Salt Lake City, UT 84132-0002
- **Phone:** (801) 581-2272
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Adult Services (NPI 1932503430, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2019
## Record status
- **NPPES last updated:** August 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1932669686) · Data from the CMS NPPES public registry.